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LISA M JACKSON PLPC
NPI 1184076630
Counselor - Professional in Natchitoches, LA

Active since July 08, 2016PECOS Enrolled
210 MEDICAL DR, NATCHITOCHES, LA 71457(318) 357-3122 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2022, Mar 22, 2019 (2 updates tracked since 2019).

About Lisa M Jackson Plpc NPPES

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

LISA M JACKSON PLPC (NPI 1184076630) is an individual professional provider in Natchitoches, Louisiana, licensed in Louisiana (7749) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Many, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184076630
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA M JACKSONCredential: PLPC
Location Address210 MEDICAL DRNatchitoches, LA 71457-6052
Mailing Address408 John Watley RdNatchitoches, LA 71457-7021 · (318) 332-3502
Phone(318) 357-3122
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 8, 2016
Last NPPES UpdateApril 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
✔ NPI 1184076630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 7749
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
210 MEDICAL DR, Natchitoches, LA 71457
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Secondary Practice Location 1

Location 1265 Highland DrMany, LA 71449-3717 · Phone (318) 256-4206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Jackson Plpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921456906
PECOS Enrollment IDI20240116001088
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 Lisa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Be Inspired Counseling & Consulting LLC
48 mi
Adolescent and Children Mental Health
5501 JACKSON ST
Alexandria, LA 71303
  • Reassigned Medicare billing, Louisiana enrollment
  • 21 clinicians in this Medicare group
NPI 1326689852 (318) 266-7021

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 19

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

MISS SHARON R. BEARD LPC
Counselor (Professional)
210 MEDICAL DR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 357-3122
MRS. JACQUELYN G HILLMAN R. N.
Registered Nurse (Psychiatric/Mental Health)
210 MEDICAL DR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 357-3122
MRS. BARBARA JANE MANGRUM RN
Registered Nurse
210 MEDICAL DR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 357-3122
DEANNA POTTER FOWLER M.S.
Counselor (Mental Health)
210 MEDICAL DR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 357-3122
ANNETTE MARIE ANDERSON RN
Registered Nurse (Psychiatric/Mental Health)
210 MEDICAL DR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 357-3122
TYRELL SMALL
Peer Specialist
210 MEDICAL DR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 357-3122
MS. HEATHER D. REARDON M.A., NCC
Counselor
210 MEDICAL DR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 357-3122
NORTHWEST LOUSIANA HUMAN SERVICES DISTRICT
Clinic/Center (Mental Health (Including Community Mental Health Center))
210 MEDICAL DR
NATCHITOCHES, LA 71457
Natchitoches Parish (318) 357-3122

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1184076630. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Lisa Jackson located?

Lisa Jackson practices at 210 Medical Dr, Natchitoches, LA 71457. The listed phone number is (318) 357-3122.

What is Lisa Jackson's specialty?

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

Is Lisa Jackson enrolled in Medicare?

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

Which organization bills Medicare for Lisa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jackson reassigns Medicare benefits to Be Inspired Counseling & Consulting LLC (Alexandria, LA). 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 Lisa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on April 29, 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.