EBONEY JACKSON PHD
NPI 1497093116
Psychologist - Counseling in San Antonio, TX

Active since January 31, 2013PECOS EnrolledAccepts Medicare Assignment
6711 S NEW BRAUNFELS AVE, SUITE 100, SAN ANTONIO, TX 78223(210) 532-8811(210) 531-8172 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 and is a graduate of Other (2011).

NPPES Registry Identity

NPI1497093116
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameEBONEY JACKSONCredential: PHD
Location Address6711 S NEW BRAUNFELS AVE, SUITE 100San Antonio, TX 78223-3005
Mailing Address6502 Nursery Dr. Ste. 100Victoria, TX 77904 · (361) 575-0611 · Fax (361) 579-6913
Fax(210) 531-8172
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 31, 2013
Last NPPES UpdateNovember 8, 2022
NPPES CertifiedNovember 8, 2022
NPI 1497093116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in TX · 32651
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
6711 S NEW BRAUNFELS AVE, San Antonio, TX 78223

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

Eboney Jackson Phd 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 ID8820233299
PECOS Enrollment IDI20130408000253
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 20

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

Psychiatry & Neurology (Psychiatry)
6711 S NEW BRAUNFELS AVE
SAN ANTONIO, TX 78223
Psychiatry & Neurology (Psychiatry)
6711 S NEW BRAUNFELS AVE, SUITE 100
SAN ANTONIO, TX 78223
Intermediate Care Facility, Intellectual Disabilities
6711 S NEW BRAUNFELS AVE, STE 500
SAN ANTONIO, TX 78223
General Practice
6711 S NEW BRAUNFELS AVE
SAN ANTONIO, TX 78223
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
6711 S NEW BRAUNFELS AVE
SAN ANTONIO, TX 78223
Nurse Practitioner (Psychiatric/Mental Health)
6711 S NEW BRAUNFELS AVE, SUITE 100
SAN ANTONIO, TX 78223
Psychiatry & Neurology (Psychiatry)
6711 S NEW BRAUNFELS AVE
SAN ANTONIO, TX 78223
Nurse Practitioner (Family)
6711 S NEW BRAUNFELS AVE
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eboney Jackson accept?

Health plans from Baylor Scott and White Health Plan, 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.