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MELISSA JACKSON LAC
NPI 1114673381
Counselor - Mental Health in Brick, NJ

Active since February 26, 2022PECOS EnrolledAccepts Medicare Assignment
220 JACK MARTIN BLVD # E2, BRICK, NJ 08724(732) 920-3434 Get Directions Write a Review

NPPES record last updated: February 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Jackson Lac NPPES

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

MELISSA JACKSON LAC (NPI 1114673381) is an individual mental health provider in Brick, New Jersey, licensed in New Jersey (37AC00133700) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114673381
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA JACKSONCredential: LAC
Location Address220 JACK MARTIN BLVD # E2Brick, NJ 08724-7772
Mailing Address220 Jack Martin Blvd # E2Brick, NJ 08724-7772 · (732) 239-3427
Phone(732) 920-3434
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 26, 2022
NPPES CertifiedFebruary 26, 2022
✔ NPI 1114673381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00133700
220 JACK MARTIN BLVD # E2, Brick, NJ 08724
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Jackson Lac 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.

PECOS PAC ID6507308244
PECOS Enrollment IDI20240610000529
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 5

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

ASHLEY GRACIA LCSW
Social Worker (Clinical)
220 JACK MARTIN BLVD # E2
BRICK, NJ 08724
Ocean County (732) 920-3434
NOREEN SYEDA RAJA
Psychologist
220 JACK MARTIN BLVD # E2
BRICK, NJ 08724
Ocean County (732) 920-3434
MELISSA MURPHY M.S., L.P.C., N.C.C.
Counselor (Mental Health)
220 JACK MARTIN BLVD # E2
BRICK, NJ 08724
Ocean County (732) 920-3434
CRYSTAL ELENA DELIA LPC, LCADC
Counselor (Mental Health)
220 JACK MARTIN BLVD # E2
BRICK, NJ 08724
Ocean County (732) 920-3434
DR. KATHLEEN ANN BOSS PSY.D
Psychologist (Clinical)
220 JACK MARTIN BLVD # E2
BRICK, NJ 08724
Ocean County (732) 920-3434

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1114673381. It was assigned to this individual provider in the NPPES registry on February 26, 2022.

Where is Melissa Jackson located?

Melissa Jackson practices at 220 Jack Martin Blvd # E2, Brick, NJ 08724. The listed phone number is (732) 920-3434.

What is Melissa Jackson's specialty?

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

Is Melissa Jackson enrolled in Medicare?

Yes. Melissa Jackson 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.

What insurance does Melissa Jackson accept?

Health plans from Providence Health Plan list Melissa 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 Melissa Jackson was last updated on February 26, 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.