KYLE LAMET JACKSON
NPI 1275018384
Marriage & Family Therapist in Fairfield, CA
About Kyle Lamet Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE LAMET JACKSON (NPI 1275018384) is an individual marriage & family therapist in Fairfield, California, licensed in California (88118) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle Lamet 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.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kyle Jackson's NPI number?
The NPI number for Kyle Jackson is 1275018384. It was assigned to this individual provider in the NPPES registry on September 25, 2018.
Where is Kyle Jackson located?
Kyle Jackson practices at 744 Empire St, Fairfield, CA 94533. The listed phone number is (925) 768-5052.
What is Kyle Jackson's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kyle Jackson enrolled in Medicare?
Yes. Kyle 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.
Which organization bills Medicare for Kyle Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Jackson reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Kyle Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyle Jackson was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kyle Lamet Jackson · NPI 1275018384
Marriage & Family Therapist provider in Fairfield, California. Individual provider, active in the CMS NPPES registry since September 25, 2018.
## Identity
- **NPI:** 1275018384 (Entity type: Individual)
- **Enumerated:** September 25, 2018
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 88118 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 744 EMPIRE ST, Fairfield, CA 94533-5562
- **Phone:** (925) 768-5052
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275018384) · Data from the CMS NPPES public registry.