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: July 19, 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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychotherapy, 1 hour

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.

This service was performed 53 times for 15 patients

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
180 10TH ST SE STE 201
LE MARS, IA 51031
Social Worker (Clinical)
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
Case Manager/Care Coordinator
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
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 (Clinical)
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
180 10TH ST SE STE 201
LE MARS, IA 51031
Registered Nurse
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

The NPI number assigned to this healthcare provider is 1003366329, enumerated as an "individual" on October 11, 2016.

The provider is located at 180 10TH ST SE STE 201 LE MARS, IA 51031 and the phone number is (712) 546-4624.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Avera Health Plans, HealthPartners and Sanford. Please consult your insurance carrier or call the provider to verify.