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ANGELA MARIA JACKSON LPC
NPI 1255352969
Counselor - Professional in Ogden, UT

Active since July 21, 2006PECOS Enrolled
3903 HARRISON BLVD STE 300, OGDEN, UT 84403(801) 387-5600 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Angela Maria Jackson Lpc NPPES

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

ANGELA MARIA JACKSON LPC (NPI 1255352969) is an individual professional provider in Ogden, Utah, licensed in Utah (359140-6004) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255352969
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA MARIA JACKSONCredential: LPC
Location Address3903 HARRISON BLVD STE 300Ogden, UT 84403-2362
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 387-5600
Phone(801) 387-5600
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 21, 2019
✔ NPI 1255352969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in UT · 359140-6004
3903 HARRISON BLVD STE 300, Ogden, UT 84403
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Maria Jackson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Angela Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Psychiatry
3903 HARRISON BLVD STE 300
Ogden, UT 84403
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1659622033 (801) 387-5600

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 5

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

TAYLER M WAYMENT PSYD
Psychologist (Clinical)
3903 HARRISON BLVD STE 300
OGDEN, UT 84403
Weber County (801) 387-5600
EMILY BAILEY LCSW
Social Worker (Clinical)
3903 HARRISON BLVD STE 300
OGDEN, UT 84403
Weber County (801) 387-5600
HEATHER KIM SPOHRER BAILEY MSW LSW
Social Worker (Clinical)
3903 HARRISON BLVD STE 300
OGDEN, UT 84403
Weber County (801) 387-5600
IHC HEALTH SERVICES INC
Psychiatry & Neurology (Psychiatry)
3903 HARRISON BLVD STE 300
OGDEN, UT 84403
Weber County (801) 387-5600
CANDICE KAI ROBERTS APRN
Nurse Practitioner (Psychiatric/Mental Health)
3903 HARRISON BLVD STE 300
OGDEN, UT 84403
Weber County (801) 387-5600

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 Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1255352969. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Angela Jackson located?

Angela Jackson practices at 3903 Harrison Blvd Ste 300, Ogden, UT 84403. The listed phone number is (801) 387-5600.

What is Angela Jackson's specialty?

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

Is Angela Jackson enrolled in Medicare?

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

Which organization bills Medicare for Angela Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Jackson reassigns Medicare benefits to Ihc Health Services Inc (Ogden, UT). 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 Angela Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Jackson accept?

Health plans from Select Health list Angela 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 Angela Jackson was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.