LYNN STEPHANIE JACKSON DORMAN LMHC
NPI 1053959023
Counselor - Professional in St Petersburg, FL
About Lynn Stephanie Jackson Dorman Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYNN STEPHANIE JACKSON DORMAN LMHC (NPI 1053959023) is an individual professional provider in St Petersburg, Florida and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Lynn Stephanie Jackson Dorman Lmhc 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.
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 Lynn Jackson Dorman's NPI number?
The NPI number for Lynn Jackson Dorman is 1053959023. It was assigned to this individual provider in the NPPES registry on December 20, 2019.
Where is Lynn Jackson Dorman located?
Lynn Jackson Dorman practices at 1700 Park St N Ste 110, St Petersburg, FL 33710. The listed phone number is (813) 644-2747.
What is Lynn Jackson Dorman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Lynn Jackson Dorman enrolled in Medicare?
Yes. Lynn Jackson Dorman 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 Lynn Jackson Dorman accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lynn Jackson Dorman 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 Lynn Jackson Dorman was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Lynn Stephanie Jackson Dorman, LMHC · NPI 1053959023
Professional provider in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since December 20, 2019.
## Identity
- **NPI:** 1053959023 (Entity type: Individual)
- **Enumerated:** December 20, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1700 PARK ST N STE 110, St Petersburg, FL 33710-4300
- **Phone:** (813) 644-2747
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053959023) · Data from the CMS NPPES public registry.