DR. JACOB JERRY JACKSON PHD, LMHC, CADC
NPI 1003366329
Counselor - Mental Health in Le Mars, IA

Active since October 11, 2016PECOS EnrolledAccepts Medicare Assignment
180 10TH ST SE STE 201, LE MARS, IA 51031(712) 546-4624(712) 546-9395 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Mar 31, 2023, Mar 13, 2023 and 1 more (4 updates tracked since 2016).

About Dr. Jacob Jerry Jackson Phd, Lmhc, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB JERRY JACKSON PHD, LMHC, CADC (NPI 1003366329) is an individual mental health provider in Le Mars, Iowa and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003366329
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. JACOB JERRY JACKSONCredential: PHD, LMHC, CADC
Location Address180 10TH ST SE STE 201Le Mars, IA 51031-2557
Mailing Address180 10th St SeLe Mars, IA 51031-2559 · (712) 499-0207
Fax(712) 546-9395
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 11, 2016
Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1003366329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15081 (IA)
180 10TH ST SE STE 201, Le Mars, IA 51031

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Jerry Jackson Phd, Lmhc, Cadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072962893
PECOS Enrollment IDI20231205003305
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
53 services15 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Counselor (Addiction (Substance Use Disorder))
180 10TH ST SE STE 201
LE MARS, IA 51031
Counselor (Mental Health)
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Social Worker
180 10TH ST SE STE 201
LE MARS, IA 51031
Social Worker
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Jackson's NPI number?

The NPI number for Jacob Jackson is 1003366329. It was assigned to this individual provider in the NPPES registry on October 11, 2016.

Where is Jacob Jackson located?

Jacob Jackson practices at 180 10th St SE Ste 201, Le Mars, IA 51031. The listed phone number is (712) 546-4624.

What is Jacob Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacob Jackson enrolled in Medicare?

Yes. Jacob Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Jackson accept?

Health plans from Avera Health Plans, HealthPartners and Sanford Health Plan list Jacob Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Jackson was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.