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William M. Jackson

Counselor

Behavioral Health & Social Service Providers

1901 Tate Springs Rd, Dillard Building, Lynchburg, VA 24501-1109

PECOS Enrollment

This provider is enrolled in PECOS as WILLIAM JACKSON.

Based on the most recent information from CMS, provider William M. Jackson is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1073407342
Provider Type
Individual
Full Name
Jackson, William M.
Credential
LPC

Gender
Male
Sole Proprietor
No
Enumeration Date
6/3/2025
Last Updated
11/21/2025

Contact Information

Practice Location

1901 Tate Springs Rd, Dillard Building, Lynchburg, VA 24501-1109

(434) 200-3033

Unlisted Fax

Mailing Location

1901 Tate Springs Rd, Dillard Building, Lynchburg, VA 24501-1109

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701003216 Virginia

William M. Jackson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rosenberg, Victoria

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Bryant, Sandra O

Cotton, Erica Yoana

Mace, Erin Sheetz

Harold, Alyssa

Taylor, Caitlin

Tucker, Amy Billingsly

Benitez-Vasquez, Victor Rene

Barnwell, Hugh Steven