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MRS. SANDRA JACKSON LMHC
NPI 1356330765
Counselor - Mental Health in St Augustine, FL

Active since October 18, 2005PECOS Enrolled
1880 SAN SEBASTIAN VW STE 4201, ST AUGUSTINE, FL 32084(800) 539-4228 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Sandra Jackson Lmhc NPPES

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

MRS. SANDRA JACKSON LMHC (NPI 1356330765) is an individual mental health provider in St Augustine, Florida, licensed in Florida (MH8391) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356330765
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SANDRA JACKSONCredential: LMHC
Location Address1880 SAN SEBASTIAN VW STE 4201St Augustine, FL 32084-8684
Mailing Address150 Magnolia AveDaytona Beach, FL 32114-4304 · (800) 539-4228
Phone(800) 539-4228
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1356330765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH8391
Also ListedCounselorTaxonomy 101Y00000X · License MH8391 (FL)
1880 SAN SEBASTIAN VW STE 4201, St Augustine, FL 32084
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Other Names 1

Former Name (1)Ms. Sandra Melchionne Lmhc

Other Identifiers 2

Medicaid767122900FL
OtherZ089AFL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Health Care Plans, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sandra Jackson Lmhc 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 3

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

MS. CASSEY MARIE CUEVAS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
St. Johns County (800) 539-4228
SIOBHAN M DOUGLAS LCSW
Social Worker (Clinical)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
St. Johns County (800) 539-4228
MS. HELENA RUSSELL APRN
Nurse Practitioner (Psychiatric/Mental Health)
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084
St. Johns County (800) 539-4228

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 Sandra Jackson's NPI number?

The NPI number for Sandra Jackson is 1356330765. It was assigned to this individual provider in the NPPES registry on October 18, 2005. The provider is also known as Ms. Sandra Melchionne Lmhc.

Where is Sandra Jackson located?

Sandra Jackson practices at 1880 San Sebastian Vw Ste 4201, St Augustine, FL 32084. The listed phone number is (800) 539-4228.

What is Sandra Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sandra Jackson enrolled in Medicare?

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

What insurance does Sandra Jackson accept?

Health plans from Florida Health Care Plans and Molina Healthcare list Sandra 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 Sandra Jackson was last updated on October 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.