ROBIN JACKSON LAC
NPI 1447607205
Counselor - Mental Health in Fort Smith, AR

Active since May 20, 2016Opted out of Medicare · through Jun 27, 2028
3111 S 70TH ST, FORT SMITH, AR 72903(479) 452-6650(479) 452-5847 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2019, May 20, 2016 (2 updates tracked since 2016).

About Robin Jackson Lac NPPES

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

ROBIN JACKSON LAC (NPI 1447607205) is an individual mental health provider in Fort Smith, Arkansas, licensed in Arkansas (A1908012) and active in the NPI registry since May 2016. She has opted out of Medicare through June 27, 2028.

NPPES Registry Identity

NPI1447607205
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameROBIN JACKSONCredential: LAC
Location Address3111 S 70TH STFort Smith, AR 72903-5017
Mailing AddressPo Box 11818Fort Smith, AR 72917-1818 · (479) 452-6650 · Fax (479) 452-5847
Fax(479) 452-5847
Sole ProprietorNo
Enumeration DateMay 20, 2016
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
NPI 1447607205 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 AR · A1908012
3111 S 70TH ST, Fort Smith, AR 72903

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Robin Jackson Lac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 27, 2024 through June 27, 2028.

Opt-Out Effective DateJune 27, 2024
Opt-Out In Effect ThroughJune 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
3111 S 70TH ST
FORT SMITH, AR 72903
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Psychologist (Clinical)
3111 S 70TH ST
FORT SMITH, AR 72903
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903

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 Robin Jackson's NPI number?

The NPI number for Robin Jackson is 1447607205. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Robin Jackson located?

Robin Jackson practices at 3111 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 452-6650.

What is Robin Jackson's specialty?

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

Is Robin Jackson enrolled in Medicare?

No. Robin Jackson has opted out of Medicare through June 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Robin Jackson accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Robin 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 Robin Jackson was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.