LEAH MARIE JACKSON
NPI 1265036016
Marriage & Family Therapist in Richfield, MN

Q: What is Leah Jackson's NPI number?

The NPI number for Leah Jackson is 1265036016. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Q: What is Leah Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Leah Jackson was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 23, 2020PECOS Enrolled

2400 W 64TH ST, RICHFIELD, MN 55423(612) 798-8356(612) 798-5301 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leah Marie Jackson NPPES

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

LEAH MARIE JACKSON (NPI 1265036016) is an individual marriage & family therapist in Richfield, Minnesota and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265036016

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLEAH MARIE JACKSON

Location Address2400 W 64TH STRichfield, MN 55423-1001

Mailing Address6335 Lyndale Ave S Apt 107Richfield, MN 55423-1463 · (612) 798-8356 · Fax (612) 798-5301

Phone(612) 798-8356

Fax(612) 798-5301

Sole ProprietorNo

Enumeration DateNovember 23, 2020

NPPES CertifiedNovember 23, 2020

✔ NPI 1265036016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2400 W 64TH ST, Richfield, MN 55423

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Marie Jackson 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 20

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

JERI ANN MULLAN OTR

Occupational Therapist

2400 W 64TH ST
MINNEAPOLIS, MN 55423

Hennepin County (612) 798-8341

STEPHANIE ZIMMERMAN

Social Worker (Clinical)

2400 W 64TH ST
RICHFIELD, MN 55423

Hennepin County (612) 331-9413

TOMAS JOHN WILDENBORG LICSW

Social Worker (Clinical)

2400 W 64TH ST
MINNEAPOLIS, MN 55423

Hennepin County (612) 861-1688

FRASER

Clinic/Center (Rehabilitation)

2400 W 64TH ST
RICHFIELD, MN 55423

Hennepin County (612) 861-1688

MRS. LETTY LEE FALLER MS,CCC-SLP

Speech-Language Pathologist

2400 W 64TH ST
RICHFIELD, MN 55423

Hennepin County (612) 798-8329

MS. CRYSTAL MARIE LUXMORE M.A. IN P.T.

Physical Therapist (Orthopedic)

2400 W 64TH ST
MINNEAPOLIS, MN 55423

Hennepin County (612) 798-8339

MARIANNE CARTWRIGHT M.S., CCC-SLP

Speech-Language Pathologist

2400 W 64TH ST
RICHFIELD, MN 55423

Hennepin County (612) 767-7904

ALYSSA OAKMAN

Speech-Language Pathologist

2400 W 64TH ST
MINNEAPOLIS, MN 55423

Hennepin County (612) 798-8346

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 Leah Jackson's NPI number?

The NPI number for Leah Jackson is 1265036016. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Leah Jackson located?

Leah Jackson practices at 2400 W 64th St, Richfield, MN 55423. The listed phone number is (612) 798-8356.

What is Leah Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Leah Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Leah Jackson was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.