Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANGELA DECARLA JACKSON, PH.D., LCPC, LMHC
ActiveDR. ANGELA DECARLA JACKSON, PH.D., LCPC, LMHC is a Professional Counselor healthcare provider located in SOUTH BEND, Indiana. NPI 1194267476 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · SOUTH BEND, IN
Registration Details
- NPI Number
- 1194267476
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2016 (9.7004249039676 yrs)
- Last Updated
- Jun 25, 2025
- Licenses
-
180.011258 (IL)39004648A (IN)
Practice Information
- Address
-
1251 N EDDY ST STE 200SOUTH BEND, IN, 466171478Browse IN providers · Browse ZIP 46617
- Phone
- 3127989755
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MS. SHARON MARIE BURDEN | SAP AND CEAP | 1679783187 |
| MEGAN GREULICH | LPC | 1710164603 |
| MELISSA BUDDIE | MSW | 1841748449 |
| DR. KYLIE ROGALLA | PH.D., LPC, NCC | 1497398762 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.