JACKIE LYNNE WEST LPCC, LADAC
NPI 1124231618
Counselor - Professional in Albuquerque, NM

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108(505) 841-8978(505) 841-8977 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Dec 24, 2022 (2 updates tracked since 2022).

About Jackie Lynne West Lpcc, Ladac NPPES

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

JACKIE LYNNE WEST LPCC, LADAC (NPI 1124231618) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-2022-0948) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Lunas, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1124231618
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKIE LYNNE WESTCredential: LPCC, LADAC
Location Address5400 GIBSON BLVD SEAlbuquerque, NM 87108-5566
Mailing Address2504 Camino EntradaSanta Fe, NM 87507-4851 · (505) 216-2727 · Fax (505) 365-1006
Fax(505) 841-8977
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 8, 2007
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
NPI 1124231618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NM · CTB-2022-0948
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 4749 (NM)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License T-0098501 (NM)
5400 GIBSON BLVD SE, Albuquerque, NM 87108

Secondary Practice Location 1

Location 1428 Los Lentes Rd SE Ste 3Los Lunas, NM 87031-6018 · Phone (505) 865-3350 · Fax (505) 865-4739

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

Jackie Lynne West Lpcc, Ladac 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 ID7113467341
PECOS Enrollment IDI20240913002340
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.

Pharmacist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Nurse Practitioner
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Nurse Practitioner (Adult Health)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Pediatrics
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Psychiatric Hospital
5400 GIBSON BLVD SE, 4TH FLOOR
ALBUQUERQUE, NM 87108
Substance Abuse Rehabilitation Facility
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Counselor (Addiction (Substance Use Disorder))
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108

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 Jackie West's NPI number?

The NPI number for Jackie West is 1124231618. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Jackie West located?

Jackie West practices at 5400 Gibson Blvd SE, Albuquerque, NM 87108. The listed phone number is (505) 841-8978.

What is Jackie West's specialty?

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

Is Jackie West enrolled in Medicare?

Yes. Jackie West 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.

When was this NPI record last updated?

The NPPES record for Jackie West was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.