Mary Theresa Jackson, LPC
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2016
- Practice address
- 345 Old Cuyler Rd, Ellabell, GA 31308
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Medical group
Find Mary Jackson's professional email, personal email and mobile number
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Mary Theresa Jackson is a professional counselor in Ellabell, Georgia
Mary Jackson practices with Grow Therapy, a medical group.
Mary Jackson's NPI, 1699121129, was assigned on May 13, 2016. Mary Jackson holds Georgia license LPC011711.
- NPI
- 1699121129NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1759876022
- NPI enumeration date
- May 13, 2016
- NPI status
- Active
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 36
- Medical school graduation
- 2016
Sources: NPPES NPI Registry (CMS); and Dmand AI Professional Profile Data
Mary Theresa Jackson's practice address is in Ellabell, Georgia
Mary Jackson's practice address in the NPI Registry is 345 Old Cuyler Rd, Ellabell, GA 31308.
- NPI Registry address345 Old Cuyler Rd, Ellabell, GA 31308
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Mary Theresa Jackson is affiliated with 1 medical group
Mary Jackson is part of Grow Therapy, a medical group in Columbus, Ohio.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Mary Theresa Jackson's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Mary Jackson practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Grow Therapy | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Grow Therapy and 6.2K+ hospitals, with verified contacts in the same login.
Mary Theresa Jackson is one of 1,842 professional counselors in Georgia
Professional is Mary Jackson's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Mary Jackson is licensed in Georgia.
Specialties and state licenses
- Professional counselor, GeorgiaPrimary
Professional counselors near Mary Jackson
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Mary Theresa Jackson's patients have a median age of 79
Across all payers, Dmand AI patient panel data puts Mary Jackson's median patient age at 79, with 33% women.
Mary Jackson's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 79
Patient panel by sex, all payers
- Women33%
- Men67%
Source: Dmand AI Patient Panel Data
Sources for Mary Theresa Jackson's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Mary Theresa Jackson
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Mary Theresa Jackson's NPI number?
Mary Theresa Jackson's NPI number is 1699121129. It was assigned on May 13, 2016, and it is active in the NPI Registry.
What does Mary Theresa Jackson specialize in?
Mary Theresa Jackson is a professional counselor in Ellabell, Georgia. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Mary Theresa Jackson practice?
Mary Jackson practices at 345 Old Cuyler Rd, Ellabell, GA 31308. Mary Jackson's primary practice is Grow Therapy, a medical group.
What is Mary Theresa Jackson's medical license number?
Mary Jackson holds Georgia license LPC011711, one of 2 state licenses on file.
What medical group is Mary Theresa Jackson part of?
Mary Jackson is part of Grow Therapy in Columbus, Ohio.
How long has Mary Theresa Jackson been practicing?
Mary Jackson graduated from medical school in 2016, 10 years ago.
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