SHELLEY ANN CRAWFORD JACKSON MS, LMHC, LPC
NPI 1215413406
Counselor in Vancouver, WA
About Shelley Ann Crawford Jackson Ms, Lmhc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLEY ANN CRAWFORD JACKSON MS, LMHC, LPC (NPI 1215413406) is an individual counselor in Vancouver, Washington, licensed in Washington (LH61025530) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelley Ann Crawford Jackson Ms, Lmhc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelley Crawford Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98685
- Reassigned Medicare billing, Washington enrollment
- 38 clinicians in this Medicare group
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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shelley Crawford Jackson's NPI number?
The NPI number for Shelley Crawford Jackson is 1215413406. It was assigned to this individual provider in the NPPES registry on July 11, 2018.
Where is Shelley Crawford Jackson located?
Shelley Crawford Jackson practices at 13505 NE 10th Ave, Vancouver, WA 98685. The listed phone number is (503) 284-1463.
What is Shelley Crawford Jackson's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Shelley Crawford Jackson enrolled in Medicare?
Yes. Shelley Crawford Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelley Crawford Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Crawford Jackson reassigns Medicare benefits to Refresh Therapy, Inc (Vancouver, WA). 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 Shelley Crawford Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelley Crawford Jackson accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Shelley Crawford 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 Shelley Crawford Jackson was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Shelley Ann Crawford Jackson, MS, LMHC, LPC · NPI 1215413406
Counselor provider in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since July 11, 2018.
## Identity
- **NPI:** 1215413406 (Entity type: Individual)
- **Enumerated:** July 11, 2018
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** LH61025530 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 13505 NE 10TH AVE, Vancouver, WA 98685-2711
- **Phone:** (503) 284-1463
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Refresh Therapy, Inc (NPI 1225403454, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2025
- **Other identifiers:** Medicaid 2104954 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215413406) · Data from the CMS NPPES public registry.