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TIFFANY MARIE JACKSON
NPI 1205400397
Counselor - Professional in Lynchburg, VA

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment
20566 TIMBERLAKE RD STE A, LYNCHBURG, VA 24502(434) 239-4400 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2023, May 13, 2021 (2 updates tracked since 2021).

About Tiffany Marie Jackson NPPES

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

TIFFANY MARIE JACKSON (NPI 1205400397) is an individual professional provider in Lynchburg, Virginia and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205400397
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY MARIE JACKSON
Location Address20566 TIMBERLAKE RD STE ALynchburg, VA 24502-7221
Mailing Address198 Ellen DrEvington, VA 24550-3587 · (757) 955-5968
Phone(434) 239-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 13, 2021
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1205400397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
20566 TIMBERLAKE RD STE A, Lynchburg, VA 24502
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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

Tiffany Marie Jackson 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 ID1153771555
PECOS Enrollment IDI20231227003066
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 9

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

MS. JENNIFER ROSE PERRY BS, RBT, QMHP-T
Behavior Technician
20566 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Lynchburg City (434) 239-4400
ANGIE DINORA RODRIGUEZ BS, MS, BCBA
Behavior Analyst
20566 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Lynchburg City (434) 329-9290
MISS SHELBY WATSON BS
Behavior Technician
20566 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Lynchburg City (434) 239-4400
VIDA CHIRI
Behavior Technician
20566 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Lynchburg City (434) 329-9290
AYANNA HALL
Behavior Technician
20566 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Lynchburg City (434) 239-4400
ROBERT CROSS
Behavior Technician
20566 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Lynchburg City (434) 239-4400
FELICIA WILLIS
Behavior Technician
20566 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Lynchburg City (434) 239-4400
LINDSEY AUSTIN
Behavior Technician
20566 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Lynchburg City (434) 239-4400

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 Tiffany Jackson's NPI number?

The NPI number for Tiffany Jackson is 1205400397. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Tiffany Jackson located?

Tiffany Jackson practices at 20566 Timberlake Rd Ste A, Lynchburg, VA 24502. The listed phone number is (434) 239-4400.

What is Tiffany Jackson's specialty?

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

Is Tiffany Jackson enrolled in Medicare?

Yes. Tiffany 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 Tiffany Jackson accept?

Health plans from Providence Health Plan list Tiffany 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 Tiffany Jackson was last updated on January 18, 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.