MRS. MELISSA JEREE JACKSON LPC
NPI 1447371620
Counselor - Mental Health in Surprise, AZ

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
13510 W YOUNG ST, SURPRISE, AZ 85374(262) 749-0908 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melissa Jeree Jackson Lpc NPPES

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

MRS. MELISSA JEREE JACKSON LPC (NPI 1447371620) is an individual mental health provider in Surprise, Arizona, licensed in Arizona (LPC-15490) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1447371620
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MELISSA JEREE JACKSONCredential: LPC
Location Address13510 W YOUNG STSurprise, AZ 85374-5417
Mailing Address13510 W Young StSurprise, AZ 85374-5417 · (262) 749-0908
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 3, 2007
Last NPPES UpdateMay 16, 2024
NPPES CertifiedMay 16, 2024
NPI 1447371620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LPC-15490
13510 W YOUNG ST, Surprise, AZ 85374

Other Identifiers 1

Medicaid43599300WI

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

Mrs. Melissa Jeree 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 ID42754186
PECOS Enrollment IDI20240701002079
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.

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1447371620. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Melissa Jackson located?

Melissa Jackson practices at 13510 W Young St, Surprise, AZ 85374. The listed phone number is (262) 749-0908.

What is Melissa Jackson's specialty?

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

Is Melissa Jackson enrolled in Medicare?

Yes. Melissa 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 Melissa Jackson accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Melissa 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 Melissa Jackson was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.