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

Q: 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.

Q: What is Angela Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Jackson was last updated on May 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

EMILY BAILEY LCSW

Social Worker (Clinical)