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ROSALYN ELOISE-NADINE JACKSON LPC
NPI 1215225438
Counselor - Professional in Russellville, AR

Active since July 21, 2011PECOS EnrolledAccepts Medicare Assignment
110 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 967-5570(479) 890-5364 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2020, Feb 10, 2016 (2 updates tracked since 2016).

About Rosalyn Eloise-nadine Jackson Lpc NPPES

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

ROSALYN ELOISE-NADINE JACKSON LPC (NPI 1215225438) is an individual professional provider in Russellville, Arkansas, licensed in Arkansas (P1601006) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215225438
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameROSALYN ELOISE-NADINE JACKSONCredential: LPC
Location Address110 SKYLINE DRRussellville, AR 72801-3362
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Phone(479) 967-5570
Fax(479) 890-5364
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 21, 2011
Last NPPES UpdateApril 22, 20202 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1215225438 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 AR · P1601006
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License P1601006 (AR)
110 SKYLINE DR, Russellville, AR 72801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Rosalyn Eloise-nadine Jackson Lpc 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 ID3678922796
PECOS Enrollment IDI20231213004097
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.

MEGAN ROSHAWN FORD
Counselor (Mental Health)
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 967-5570
CHARLES ARMSTRONG
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
LINDSEY HOWARD
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
KARLESHA LIVINGSTON
Social Worker (School)
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
MEGAN MOORE
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
BRITTANY THACKER LPN
Licensed Practical Nurse
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 967-5570
SARAH KATE HENDERSON
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
ERIN WILLCUTT M.A. LAC
Counselor (Mental Health)
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 967-5570

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 Rosalyn Jackson's NPI number?

The NPI number for Rosalyn Jackson is 1215225438. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Rosalyn Jackson located?

Rosalyn Jackson practices at 110 Skyline Dr, Russellville, AR 72801. The listed phone number is (479) 967-5570.

What is Rosalyn Jackson's specialty?

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

Is Rosalyn Jackson enrolled in Medicare?

Yes. Rosalyn 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 Rosalyn Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Rosalyn 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 Rosalyn Jackson was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.