DR. DEBRA LYNN JACKSON PH.D.
NPI 1477769651
Psychologist in Eugene, OR

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
1892 WILLAMETTE ST, EUGENE, OR 97401(541) 465-1885(541) 344-4620 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Debra Lynn Jackson Ph.d. NPPES

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

DR. DEBRA LYNN JACKSON PH.D. (NPI 1477769651) is an individual psychologist in Eugene, Oregon, licensed in Oregon (1221) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1477769651
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DEBRA LYNN JACKSONCredential: PH.D.
Location Address1892 WILLAMETTE STEugene, OR 97401-4404
Mailing Address1892 Willamette StEugene, OR 97401-3383 · (541) 465-1885 · Fax (541) 344-4620
Fax(541) 344-4620
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMay 15, 2007
Last NPPES UpdateDecember 10, 2008
NPI 1477769651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 1221
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1892 WILLAMETTE ST, Eugene, OR 97401

Other Identifiers 3

Medicare PINR0000TCPFZOR
Other1221OR · State License Number
Other71-0900914OR · Ein

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

Dr. Debra Lynn Jackson Ph.d. 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 ID345399127
PECOS Enrollment IDI20090527000587
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.

Other Providers at the Same Location NPPES 5

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

Durable Medical Equipment & Medical Supplies
1892 WILLAMETTE ST
EUGENE, OR 97401
Social Worker (Clinical)
1892 WILLAMETTE ST
EUGENE, OR 97401
Psychologist (Clinical)
1892 WILLAMETTE ST
EUGENE, OR 97401
Psychologist
1892 WILLAMETTE ST
EUGENE, OR 97401
Marriage & Family Therapist
1892 WILLAMETTE ST
EUGENE, OR 97401

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 Debra Jackson's NPI number?

The NPI number for Debra Jackson is 1477769651. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Debra Jackson located?

Debra Jackson practices at 1892 Willamette St, Eugene, OR 97401. The listed phone number is (541) 465-1885.

What is Debra Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Debra Jackson enrolled in Medicare?

Yes. Debra 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 Debra Jackson accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Debra 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 Debra Jackson was last updated on December 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.