LAURA M JACKSON MS, CCC-SLP
NPI 1457844110
Speech-Language Pathologist in Mechanicsville, VA

Q: What is Laura Jackson's NPI number?

The NPI number for Laura Jackson is 1457844110. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Q: What is Laura Jackson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Jackson was last updated on May 12, 2022. 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.

Active since June 07, 2018

7090 COVENANT WOODS DR, MECHANICSVILLE, VA 23111(804) 569-8000 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Laura M Jackson Ms, Ccc-slp NPPES

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

LAURA M JACKSON MS, CCC-SLP (NPI 1457844110) is an individual speech-language pathologist provider in Mechanicsville, Virginia, licensed in Virginia (2202008528) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1457844110

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLAURA M JACKSONCredential: MS, CCC-SLP

Location Address7090 COVENANT WOODS DRMechanicsville, VA 23111-7025

Mailing Address8202 Beagle DrHenrico, VA 23228-3036 · (423) 718-2990

Phone(804) 569-8000

Sole ProprietorYes

Enumeration DateJune 7, 2018

Last NPPES UpdateMay 12, 2022

NPPES CertifiedMay 12, 2022

✔ NPI 1457844110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in VA · 2202008528

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

7090 COVENANT WOODS DR, Mechanicsville, VA 23111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura M Jackson Ms, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Laura Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fox Rehabilitation Services Of South Carolina, LLC

332 mi

Physical Therapist

800 N LAKE DR
Lexington, SC 29072

Reassigned Medicare billing, South Carolina enrollment
455 clinicians in this Medicare group

NPI 1902133689 (877) 407-3422

Legacy Healthcare Services, Inc.

437 mi

Physical Therapist

3769 KALLIE CIR
Dawsonville, GA 30534

Reassigned Medicare billing, Georgia enrollment
82 clinicians in this Medicare group

NPI 1528419751 (762) 585-4199

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 16

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

DESIREE STANNARD

Physical Therapy Assistant