Angela Decarla Jackson, PH.D., LCPC, LMHC
Professional Counselor · South Bend, IN
Angela Decarla Jackson, PH.D., LCPC, LMHC is a professional counselor with a practice address in South Bend, Indiana, and NPI 1194267476, issued on Nov 17, 2016. Check the license (Indiana 39004648A, as entered in NPPES) with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Angela Decarla Jackson
- Credential
- PH.D., LCPC, LMHC
- Primary taxonomy
- Professional Counselor 101YP2500X
- License numbers
- 39004648A IN
180.011258 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1251 N Eddy St Ste 200, South Bend, IN 46617
- Phone
- (312) 798-9755
- Enumerated
- Nov 17, 2016
- Record last updated
- Jun 25, 2025
- Medicare enrollment
- Enrolled (PECOS I20251110000562); may accept Medicare assignment
- Entity
- Type 1 · individual
Also registered at 1251 N Eddy St Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anna BurtonPhlebotomy Technician1972257913
- Pratima Dhakal, FNPFamily Nurse Practitioner1619447976
- Clyde LockettContractor1174291520
- Courtney Schweiger, BCBABehavior Analyst1669835252
- David Smith, PHD, ABPP, HSPPClinical Psychologist1942487483
Verify Angela Decarla Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 39004648ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Professional Counselor providers in Indiana
There are 200 professional counselor records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other professional counselor records in Indiana
- Tania Aglikin, MA, LPCMerrillville, IN1336352657
- Kathryn Airgood, LSWWarsaw, IN1033177639
- Caitlin AmosCrown Point, IN1487360897
- Kala Anders, LCPCDyer, IN1518203074
- Ashle' Anderson, LPCGriffith, IN1154022242
- Melissa Anderson, LMHCBloomington, IN1205312360
- Christina ArnoldMuncie, IN1750688677
- Robin Atkins, LMHC, M.A.Fort Wayne, IN1336501162
- Rachael Badger, LMHCAGreenwood, IN1275265530
- Jacquelyn Bainbridge, LPCCJeffersonville, IN1558701581
Common questions
What is Angela Decarla Jackson, PH.D., LCPC, LMHC's NPI number?
Angela Decarla Jackson, PH.D., LCPC, LMHC's National Provider Identifier (NPI) is 1194267476, issued on Nov 17, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Angela Decarla Jackson, PH.D., LCPC, LMHC located?
The NPPES record lists a practice address at 1251 N Eddy St Ste 200, South Bend, IN, 46617. Phone: (312) 798-9755. Providers update this record themselves, so call before visiting.
How can I verify Angela Decarla Jackson, PH.D., LCPC, LMHC's license?
NPPES lists Indiana license number 39004648A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.