HEATHER JACKSON LPC
NPI 1104549336
Counselor - Professional in Lawrence, KS

Active since September 22, 2022PECOS Enrolled
1045 E 23RD ST, LAWRENCE, KS 66046(785) 393-6167 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heather Jackson Lpc NPPES

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

HEATHER JACKSON LPC (NPI 1104549336) is an individual professional provider in Lawrence, Kansas, licensed in Kansas (04163) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104549336
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHEATHER JACKSONCredential: LPC
Location Address1045 E 23RD STLawrence, KS 66046-5003
Mailing Address1045 E 23rd StLawrence, KS 66046-5003 · (785) 393-6167
Sole ProprietorNo
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1104549336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KS · 04163
1045 E 23RD ST, Lawrence, KS 66046

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Jackson Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1045 E 23RD ST
Lawrence, KS 66046
  • Reassigned Medicare billing, Kansas enrollment
  • 31 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1045 E 23RD ST
LAWRENCE, KS 66046
Nurse Practitioner (Psychiatric/Mental Health)
1045 E 23RD ST
LAWRENCE, KS 66046
Psychiatry & Neurology (Psychiatry)
1045 E 23RD ST
LAWRENCE, KS 66046
Nurse Practitioner (Psychiatric/Mental Health)
1045 E 23RD ST
LAWRENCE, KS 66046
Psychiatry & Neurology (Psychiatry)
1045 E 23RD ST
LAWRENCE, KS 66046
Nurse Practitioner (Family)
1045 E 23RD ST
LAWRENCE, KS 66046
Psychiatry & Neurology (Psychiatry)
1045 E 23RD ST
LAWRENCE, KS 66046
Nurse Practitioner (Psychiatric/Mental Health)
1045 E 23RD ST
LAWRENCE, KS 66046

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 Heather Jackson's NPI number?

The NPI number for Heather Jackson is 1104549336. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Heather Jackson located?

Heather Jackson practices at 1045 E 23rd St, Lawrence, KS 66046. The listed phone number is (785) 393-6167.

What is Heather Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Heather Jackson enrolled in Medicare?

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

Which organization bills Medicare for Heather Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Jackson reassigns Medicare benefits to Interpersonal Psychiatry, LLC (Lawrence, KS). 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 Heather Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Heather Jackson 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 Heather Jackson was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.