KRISTIN MARY JACKSON PSY.D.
NPI 1104255116
Psychologist in Lancaster, PA

Active since November 11, 2013PECOS Enrolled
410 N PRINCE ST, LANCASTER, PA 17603(717) 560-7917 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Mary Jackson Psy.d. NPPES

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

KRISTIN MARY JACKSON PSY.D. (NPI 1104255116) is an individual psychologist in Lancaster, Pennsylvania, licensed in Pennsylvania (PS018008) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104255116
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKRISTIN MARY JACKSONCredential: PSY.D.
Location Address410 N PRINCE STLancaster, PA 17603-3010
Mailing Address410 N Prince StLancaster, PA 17603-3010
Sole ProprietorNo
Enumeration DateNovember 11, 2013
Last NPPES UpdateFebruary 9, 2016
NPI 1104255116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS018008
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedBehavior AnalystTaxonomy 103K00000X · License BH002643 (PA)
410 N PRINCE ST, Lancaster, PA 17603

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristin Mary Jackson Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Psychiatry & Neurology (Psychiatry)
410 N PRINCE ST
LANCASTER, PA 17603
Social Worker (Clinical)
410 N PRINCE ST
LANCASTER, PA 17603
Counselor (Mental Health)
410 N PRINCE ST
LANCASTER, PA 17603
Behavior Analyst
410 N PRINCE ST
LANCASTER, PA 17603
Counselor (Professional)
410 N PRINCE ST
LANCASTER, PA 17603
Counselor (Professional)
410 N PRINCE ST
LANCASTER, PA 17603
Counselor (Professional)
410 N PRINCE ST
LANCASTER, PA 17603
Counselor (Professional)
410 N PRINCE ST
LANCASTER, PA 17603

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 Kristin Jackson's NPI number?

The NPI number for Kristin Jackson is 1104255116. It was assigned to this individual provider in the NPPES registry on November 11, 2013.

Where is Kristin Jackson located?

Kristin Jackson practices at 410 N Prince St, Lancaster, PA 17603. The listed phone number is (717) 560-7917.

What is Kristin Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kristin Jackson enrolled in Medicare?

Yes. Kristin Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Jackson was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.