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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Candis L Jackson, LMHC

Mental Health Counselor in Port Charlotte, FL · enumerated 2008 · practices at Bennett W Mcallister MD PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104004746

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Registry record

Entity type Individual (Type 1)
Name Ms. Candis L Jackson
Credential LMHC
Sex Female
Practice address 4161 Tamiami Trl Ste 304d, Port Charlotte, FL, 33952
Fax (941) 625-1047
Enumeration date Feb 6, 2008
Last updated in NPPES May 7, 2024

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License MH4441 (FL) Primary

Other identifiers

Identifier Type State Issuer
116480500 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Candis Jackson?
Candis Jackson is registered in NPPES with the primary taxonomy of Mental Health Counselor. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-07.