STEVEN WAYNE JACKSON LPC
NPI 1063739746
Counselor - Professional in Omaha, NE
About Steven Wayne Jackson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEVEN WAYNE JACKSON LPC (NPI 1063739746) is an individual professional provider in Omaha, Nebraska, licensed in Wyoming (1194) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Steven Wayne Jackson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OMAHA, NE 68105
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 Steven Jackson's NPI number?
The NPI number for Steven Jackson is 1063739746. It was assigned to this individual provider in the NPPES registry on April 21, 2010.
Where is Steven Jackson located?
Steven Jackson practices at 1941 S 42nd St Ste 514, Omaha, NE 68105. The listed phone number is (402) 614-8444.
What is Steven Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Steven Jackson enrolled in Medicare?
Yes. Steven Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Steven Jackson was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Steven Wayne Jackson, LPC · NPI 1063739746
Professional provider in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since April 21, 2010.
## Identity
- **NPI:** 1063739746 (Entity type: Individual)
- **Enumerated:** April 21, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 1194 (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 1941 S 42ND ST STE 514, Omaha, NE 68105
- **Phone:** (402) 614-8444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** June 12, 2018
- **Other identifiers:** Other 1194 (WY)
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Source: [NPI Profile](https://npiprofile.com/npi/1063739746) · Data from the CMS NPPES public registry.