EBONEY JACKSON PHD
NPI 1497093116
Psychologist - Counseling in San Antonio, TX
About Eboney Jackson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONEY JACKSON PHD (NPI 1497093116) is an individual counseling provider in San Antonio, Texas, licensed in Texas (32651) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eboney Jackson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Eboney Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78223
- Reassigned Medicare billing, Texas enrollment
- 452 clinicians in this Medicare group
San Antonio, TX 78216
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Victoria, TX 77904
- Reassigned Medicare billing, Texas enrollment
- 26 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78223
SAN ANTONIO, TX 78223
SAN ANTONIO, TX 78223
SAN ANTONIO, TX 78223
SAN ANTONIO, TX 78223
SAN ANTONIO, TX 78223
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 Eboney Jackson's NPI number?
The NPI number for Eboney Jackson is 1497093116. It was assigned to this individual provider in the NPPES registry on January 31, 2013.
Where is Eboney Jackson located?
Eboney Jackson practices at 6711 S New Braunfels Ave Suite 100, San Antonio, TX 78223. The listed phone number is (210) 532-8811.
What is Eboney Jackson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Eboney Jackson enrolled in Medicare?
Yes. Eboney Jackson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Eboney Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eboney Jackson reassigns Medicare benefits to 3 organizations: Health And Human Services Commission (San Antonio, TX), Russel Thompson, Phd & Associates PC (San Antonio, TX) and Gulf Bend Mental Health Mental Retardation Center (Victoria, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eboney Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eboney Jackson accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Eboney 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 Eboney Jackson was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.