ANDREA MARIE JACKSON PHD
NPI 1194255877
Psychologist in Creswell, OR

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
170 MELTON RD, CRESWELL, OR 97426(541) 306-6456 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2020, Jul 18, 2019, Jun 15, 2017 (3 updates tracked since 2017).

About Andrea Marie Jackson Phd NPPES

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

ANDREA MARIE JACKSON PHD (NPI 1194255877) is an individual psychologist in Creswell, Oregon, licensed in Oregon (3120) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194255877
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameANDREA MARIE JACKSONCredential: PHD
Location Address170 MELTON RDCreswell, OR 97426-9453
Mailing Address170 Melton RdCreswell, OR 97426-9453 · (541) 306-6456
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 15, 2017
Last NPPES UpdateOctober 30, 20243 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1194255877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 3120
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
170 MELTON RD, Creswell, OR 97426

Secondary Practice Location 1

Location 1534 Pleasant View Way NW Ste 200Albany, OR 97321-1789 · Phone (541) 812-5760

Accepted 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

Andrea Marie Jackson Phd 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 ID7719216431
PECOS Enrollment IDI20190905003099
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
584 services74 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
198 services93 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
98 services95 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
88 services88 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
74 services74 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
13 services13 patients

Other Providers at the Same Location NPPES 6

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

Clinical Neuropsychologist
170 MELTON RD
CRESWELL, OR 97426
Clinic/Center (Primary Care)
170 MELTON RD
CRESWELL, OR 97426
Physical Therapist
170 MELTON RD
CRESWELL, OR 97426
Physician Assistant (Medical)
170 MELTON RD
CRESWELL, OR 97426
Psychologist (Clinical)
170 MELTON RD
CRESWELL, OR 97426
Physical Therapist
170 MELTON RD
CRESWELL, OR 97426

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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1194255877. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Andrea Jackson located?

Andrea Jackson practices at 170 Melton Rd, Creswell, OR 97426. The listed phone number is (541) 306-6456.

What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Andrea Jackson enrolled in Medicare?

Yes. Andrea 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 Andrea Jackson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Andrea 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 Andrea Jackson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.