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HEATHER LOUISE JACKSON LPC
NPI 1104596253
Counselor - Mental Health in Alpharetta, GA

Active since September 19, 2021PECOS Enrolled
4080 MCGINNIS FERRY RD STE 1304, ALPHARETTA, GA 30005(678) 740-3990 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Louise Jackson Lpc NPPES

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

HEATHER LOUISE JACKSON LPC (NPI 1104596253) is an individual mental health provider in Alpharetta, Georgia, licensed in Georgia (LPC014188) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104596253
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEATHER LOUISE JACKSONCredential: LPC
Location Address4080 MCGINNIS FERRY RD STE 1304Alpharetta, GA 30005-3951
Mailing Address5309 Westmoreland RdCleveland, GA 30528-5252 · (706) 809-4050
Phone(678) 740-3990
Sole ProprietorYes
Enumeration DateSeptember 19, 2021
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1104596253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in GA · LPC014188✔ Licensed in GA · APC007675
4080 MCGINNIS FERRY RD STE 1304, Alpharetta, GA 30005
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Louise 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.

Other Providers at the Same Location NPPES 10

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

MRS. SARAH CAROLYN HYDE LCSW
Social Worker (Clinical)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Fulton County (678) 740-3990
CASEY LEE REYNOLDS-PURCELL APC, NCC
Counselor (Professional)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Fulton County (678) 740-3990
KELLIE LASSIG MS
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Fulton County (678) 740-3990
MS. LORI WINSTON MS, LAPC, NCC
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Fulton County (678) 740-3990
ELIZABETH ASHWORTH
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Fulton County (470) 695-0242
DESIREE ALIANA LEWIS
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Fulton County (678) 740-3990
SARAH NORRIS
Social Worker (Clinical)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Fulton County (678) 740-3990
MRS. ALEXANDRIA PAIGE KIELTYKA MS
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Fulton County (678) 740-3990

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 1104596253. It was assigned to this individual provider in the NPPES registry on September 19, 2021.

Where is Heather Jackson located?

Heather Jackson practices at 4080 Mcginnis Ferry Rd Ste 1304, Alpharetta, GA 30005. The listed phone number is (678) 740-3990.

What is Heather Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Heather Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Jackson was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.