MARY JACKSON MS
NPI 1477282705
Counselor - Professional in Mckinney, TX

NPI Status: Active since June 10, 2022

Contact Information

114 E LOUISIANA ST STE 201
MCKINNEY, TX
ZIP 75069
Phone: (972) 850-6674

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  • Individual
  • Female
  • Counselor
  • Professional
  • Opted-Out Medicare

About MARY JACKSON

This page provides the complete NPI Profile along with additional information for Mary Jackson, a provider established in Mckinney, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1477282705 assigned on June 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 83449 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1477282705
Provider Name
MARY JACKSON MS
Gender
Female
Entity Type
Individual
Location Address
114 E LOUISIANA ST STE 201 MCKINNEY, TX 75069
Location Phone
(972) 850-6674
Mailing Address
114 E LOUISIANA ST STE 201 MCKINNEY, TX 75069
Is Sole Proprietor?
No
Enumeration Date
06-10-2022
Last Update Date
06-10-2022
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mary Jackson opted out of Medicare effective on 02-12-2024 until 02-12-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
83449
License State
TX

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 02-12-2024

  • Opt-Out End Date: 02-12-2026

  • Eligible to Order and Refer? No

Reviews for MARY JACKSON MS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477282705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2414748470
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 4 + 8 + 4 + 7 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1477282705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

JENNIFER MOORE LPC, NCC

Counselor

(Professional)

114 E LOUISIANA ST STE 201
MCKINNEY, TX
ZIP 75069

(469) 712-4570

VIVIAN MURCIA MS, LPC

Counselor

(Professional)

114 E LOUISIANA ST STE 201
MCKINNEY, TX
ZIP 75069

(972) 886-8106

ANNA HOWARD LPC

Counselor

(Mental Health)

114 E LOUISIANA ST STE 201
MCKINNEY, TX
ZIP 75069

(972) 886-8375

BRANDY SCHUMANN PHD, PLLC

Counselor

(Mental Health)

114 E LOUISIANA ST STE 201
MCKINNEY, TX
ZIP 75069

(972) 886-8375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477282705, enumerated as an "individual" on June 10, 2022.

The provider is located at 114 E LOUISIANA ST STE 201 MCKINNEY, TX 75069 and the phone number is (972) 850-6674.

Counselor with taxonomy code 101YP2500X and a focus in Professional.