MRS. PATRICE LYNETTE JACKSON LPC
NPI 1346888542
Counselor - Professional in Warrenton, VA

Q: What is Patrice Jackson's NPI number?

The NPI number for Patrice Jackson is 1346888542. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Q: What is Patrice 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 Patrice Jackson was last updated on December 18, 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.

Active since December 18, 2019PECOS EnrolledAccepts Medicare Assignment

340 HOSPITAL DR, WARRENTON, VA 20186(540) 347-7620(540) 675-3329 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Patrice Lynette Jackson Lpc NPPES

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

MRS. PATRICE LYNETTE JACKSON LPC (NPI 1346888542) is an individual professional provider in Warrenton, Virginia, licensed in Virginia (0701008703) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warrenton, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1346888542

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. PATRICE LYNETTE JACKSONCredential: LPC

Location Address340 HOSPITAL DRWarrenton, VA 20186-3006

Mailing Address12495 Robin RdCulpeper, VA 22701-5392 · (434) 665-1314

Phone(540) 347-7620

Fax(540) 675-3329

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 18, 2019

✔ NPI 1346888542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701008703

Also ListedCounselorTaxonomy 101Y00000X · License 0701008703 (VA)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0701008703 (VA)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701008703 (VA)

340 HOSPITAL DR, Warrenton, VA 20186

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Secondary Practice Location 1

Location 135 Rock Pointe LnWarrenton, VA 20186-2631 · Phone (540) 347-0394 ext. 5 · Fax (540) 349-3262

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

Mrs. Patrice Lynette Jackson Lpc 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.

PECOS PAC ID3577902196

PECOS Enrollment IDI20240416001679

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 8

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

STEPHEN A REITER MD

Psychiatry & Neurology (Psychiatry)