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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Lynn Jackson Dorman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33607
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Lynn Jackson Dorman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Jackson Dorman reassigns Medicare benefits to Family Care Center, LLC (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lynn Jackson Dorman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lynn Jackson Dorman accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer 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 21 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
- **Bills Medicare through:** Family Care Center, LLC (NPI 1689441255, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **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.