REBECCA ELIZABETH NOBLES-JACKSON MED., LPC
NPI 1255967634
Counselor - Professional in Columbia, MO

Q: What is Rebecca Nobles-jackson's NPI number?

The NPI number for Rebecca Nobles-jackson is 1255967634. It was assigned to this individual provider in the NPPES registry on March 18, 2020. The provider is also known as Rebecca Nobles.

Q: What is Rebecca Nobles-jackson's specialty?

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

Active since March 18, 2020PECOS Enrolled

201 W BROADWAY STE 2F, COLUMBIA, MO 65203(573) 214-0436(573) 442-0606 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2021, Aug 5, 2020, Mar 18, 2020 (3 updates tracked since 2020).

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About Rebecca Elizabeth Nobles-jackson Med., Lpc NPPES

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

REBECCA ELIZABETH NOBLES-JACKSON MED., LPC (NPI 1255967634) is an individual professional provider in Columbia, Missouri, licensed in Missouri (2020024278) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Truckee.

NPPES Registry Identity

NPI1255967634

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameREBECCA ELIZABETH NOBLES-JACKSONCredential: MED., LPC

Location Address201 W BROADWAY STE 2FColumbia, MO 65203-3842

Mailing Address8300 Esters Blvd Ste 900Irving, TX 75063-2233 · (415) 424-4266 · Fax (415) 520-6633

Phone(573) 214-0436

Fax(573) 442-0606

Sole ProprietorNo

Enumeration DateMarch 18, 2020

Last NPPES UpdateApril 26, 20233 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1255967634 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 MO · 2020024278

201 W BROADWAY STE 2F, Columbia, MO 65203

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Other Names 1

Former Name (1)Rebecca Nobles

Secondary Practice Location 1

Location 110775 Pioneer Trl Ste 215Truckee, CA 96161-0234 · Phone (415) 424-4266 · Fax (415) 520-6633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Elizabeth Nobles-jackson Med., 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 Rebecca Nobles-jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chris Lawrence And Associates, LLC.

Same address

Clinical

201 W BROADWAY, BLDG 2, SUITE F
Columbia, MO 65203

Reassigned Medicare billing, Missouri enrollment
14 clinicians in this Medicare group

NPI 1427358696 (573) 214-0436

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 18

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

ELIZABETH CATHERINE WHITTOM

Counselor (Professional)