CONNIE JACKSON
NPI 1265973812
Counselor - Professional in Kingsland, TX
About Connie Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE JACKSON (NPI 1265973812) is an individual professional provider in Kingsland, Texas, licensed in Texas (74377) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Marble Falls, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Connie Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 Connie Jackson's NPI number?
The NPI number for Connie Jackson is 1265973812. It was assigned to this individual provider in the NPPES registry on March 15, 2017.
Where is Connie Jackson located?
Connie Jackson practices at 1410 Ranch Road 2900 Ste 303, Kingsland, TX 78639. The listed phone number is (830) 499-3744.
What is Connie Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Connie Jackson enrolled in Medicare?
Yes. Connie Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Connie Jackson accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Connie 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 Connie Jackson was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Connie Jackson · NPI 1265973812
Professional provider in Kingsland, Texas. Individual provider, active in the CMS NPPES registry since March 15, 2017.
## Identity
- **NPI:** 1265973812 (Entity type: Individual)
- **Enumerated:** March 15, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 74377 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1410 RANCH ROAD 2900 STE 303, Kingsland, TX 78639-5853
- **Phone:** (830) 499-3744
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 2, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1265973812) · Data from the CMS NPPES public registry.