Ms Jackie M Grissom, MA, LPC - Counselor in Matthews, NC

Ms Jackie M Grissom, MA, LPC is a Counselor - Professional based in Matthews, North Carolina. Ms Jackie M Grissom is licensed to practice in North Carolina (license number 2798) and her current practice location is 1238 Mann Dr, Matthews Family Counseling, Matthews, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 771-1714.

NPI number for Ms Jackie M Grissom is 1215917117 and her current mailing address is 1238 Mann Dr, Matthews Family Counseling, Matthews, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215917117.

Contact Information

Ms Jackie M Grissom, MA, LPC
1238 Mann Dr, Matthews Family Counseling,
Matthews, NC 28105-1061
(704) 771-1714
(704) 771-1890

Map and Direction


Healthcare Provider's Profile

Full NameMs Jackie M Grissom
GenderFemale
SpecialityCounselor - Professional
Location1238 Mann Dr, Matthews, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215917117
  • Provider Enumeration Date: 01/18/2006
  • Last Update Date: 07/06/2010

Medical Identifiers

Medical identifiers for Ms Jackie M Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215917117NPI-NPPES
6102673MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 2798 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jackie M Grissom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jackie M Grissom, MA, LPC
1238 Mann Dr, Matthews Family Counseling,
Matthews, NC 28105-1061

Ph: (704) 771-1714
Ms Jackie M Grissom, MA, LPC
1238 Mann Dr, Matthews Family Counseling,
Matthews, NC 28105-1061

Ph: (704) 771-1714

Reviews and Comments


Counselor in Matthews, NC

Esther Nam, LCMHC
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Ashlyn B Sexton,
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Jenna Lane,
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Adria Goulet, LCSWA
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Practice Location: 110 Matthews Station St, Matthews, NC 28105
Phone: 980-299-7436    
Dr. Tracy Masiello, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1146 Sam Newell Rd, D, Matthews, NC 28105
Phone: 704-443-8148    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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