JENNIFER LYNNE JACKSON LCSW
NPI 1124419270
Social Worker - Clinical in Santa Fe, NM

Q: What is Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1124419270. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Q: What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 11, 2015PECOS EnrolledAccepts Medicare Assignment

4730 BECKNER ROAD, SANTA FE, NM 87507(055) 989-4500 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2023, May 13, 2021, Mar 23, 2021 and 1 more (4 updates tracked since 2021).

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About Jennifer Lynne Jackson Lcsw NPPES

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

JENNIFER LYNNE JACKSON LCSW (NPI 1124419270) is an individual clinical provider in Santa Fe, New Mexico, licensed in New Mexico (C-11724) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124419270

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER LYNNE JACKSONCredential: LCSW

Location Address4730 BECKNER ROADSanta Fe, NM 87507

Mailing Address4730 Beckner RoadSanta Fe, NM 87507-4619 · (505) 989-4500

Phone(055) 989-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 11, 2015

Last NPPES UpdateOctober 2, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2023

✔ NPI 1124419270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NM · C-11724

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License M-10624 (NM)

4730 BECKNER ROAD, Santa Fe, NM 87507

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lynne Jackson Lcsw 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 ID6507266657

PECOS Enrollment IDI20210611001188

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 Jennifer Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conscious Counseling, LLC

2.9 mi

Mental Health (Including Community Mental Health Center)

5 VAL VERDE DR
Santa Fe, NM 87508

Reassigned Medicare billing, New Mexico enrollment

NPI 1679258354 (210) 313-1760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.26 – $166.80

Typical copayment $0.00 (range $13.56 – $41.70)

Most-billed visit code NA

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. TERRY SCOTT SINE MSW

Social Worker (Clinical)