MARY JACKSON MS
NPI 1477282705
Counselor - Professional in Mckinney, TX
About Mary Jackson Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JACKSON MS (NPI 1477282705) is an individual professional provider in Mckinney, Texas, licensed in Texas (83449) and active in the NPI registry since June 2022. She has opted out of Medicare through February 12, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mary Jackson Ms 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 February 12, 2024 through February 12, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Jackson's NPI number?
The NPI number for Mary Jackson is 1477282705. It was assigned to this individual provider in the NPPES registry on June 10, 2022.
Where is Mary Jackson located?
Mary Jackson practices at 114 E Louisiana St Ste 201, Mckinney, TX 75069. The listed phone number is (972) 850-6674.
What is Mary Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Jackson enrolled in Medicare?
No. Mary Jackson has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mary Jackson was last updated on June 10, 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.
# Mary Jackson, MS · NPI 1477282705
Professional provider in Mckinney, Texas. Individual provider, active in the CMS NPPES registry since June 10, 2022.
## Identity
- **NPI:** 1477282705 (Entity type: Individual)
- **Enumerated:** June 10, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 83449 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 114 E LOUISIANA ST STE 201, Mckinney, TX 75069-4463
- **Phone:** (972) 850-6674
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 12, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1477282705) · Data from the CMS NPPES public registry.