Samantha Rae Jackson, LPC
Counselor · Chardon, OH
Samantha Rae Jackson, LPC is a counselor with a practice address in Chardon, Ohio, and NPI 1245607357, issued on Aug 24, 2015. Check the license (Ohio C.1100378, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samantha Rae Jackson
- Credential
- LPC
- Primary taxonomy
- Counselor 101Y00000X
- License number
- C.1100378 OH
Self-reported in NPPES; status is on the state search - Practice location
- 695 South St, Chardon, OH 44024
- Phone
- (440) 286-1631
- Enumerated
- Aug 24, 2015
- Record last updated
- Aug 24, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20241009000423); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest counselor records → All 4,085 in Ohio → Look up another NPI →
Also registered at 695 South St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kelly BencivenniClinical Social Worker1184087702
- Nick BondraCase Manager/Care Coordinator1134893431
- Andrew BrittenCase Manager/Care Coordinator1497312292
- Bernadette Charles, LISW LICDCClinical Social Worker1538345335
- John DorseyPeer Specialist1669946224
- Meghan Haas, SWTClinical Social Worker1841003803
Verify Samantha Rae Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Ohio board licenses this profession
Search for license C.1100378Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Ravenwood Mental Health CenterChardon, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samantha Rae Jackson among 4,085 counselor records in Ohio
Samantha Rae Jackson, LPC is one of 4,085 counselor records with a practice address in Ohio. 4% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 18% of them.
- NPI issued2015 · 18% of these records are older, 80% newer
- In a Medicare fileYes · 4% of these records are
- In the CMS Doctors and Clinicians fileYes · 7% of these records are
- Graduated2012 · median 2017 among the 276 with a school on file
- Record last updated2015 · 44% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101Y00000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
33 counselor records list a practice address in Chardon
They are 33 of the 1,051 NPPES records with a practice address in Chardon, and 4,085 counselor records in Ohio.
All 4,085 in Ohio → Every provider in Chardon → Counselor nationwide →
The 8 counselor records with the nearest ZIP codes
- Dennis Anthony, LPCChardon, OH 440241205225216
- Deanna Brant, LPCC-SChardon, OH 440241851437826
- Marie Burke, MSSA,ACSW,LISW,LPCCChardon, OH 440241134337488
- Vicki Clark, M.ED.Chardon, OH 440241184790859
- Nichole Collica, LPCChardon, OH 440241427433341
- Wendy Francis, LPCChardon, OH 440241013372176
- Grant GriffinChardon, OH 440241396904983
- Christine Hill, PC, ATChardon, OH 440241295048254
Common questions
What is Samantha Rae Jackson, LPC's NPI number?
Samantha Rae Jackson, LPC's National Provider Identifier (NPI) is 1245607357, issued on Aug 24, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Samantha Rae Jackson, LPC located?
The NPPES record lists a practice address at 695 South St, Chardon, OH, 44024. Phone: (440) 286-1631. Providers update this record themselves, so call before visiting.
How can I verify Samantha Rae Jackson, LPC's license?
NPPES lists Ohio license number C.1100378, as entered by the provider. Search the Ohio 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. Medicare files from data.cms.gov. 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.