LISA MARIE JACKSON
NPI 1497436349
Counselor - Professional in Federal Way, WA

Active since July 25, 2023PECOS EnrolledAccepts Medicare Assignment
33455 6TH AVE S # 2C, FEDERAL WAY, WA 98003(253) 210-4230 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Jul 25, 2023 (2 updates tracked since 2023).

About Lisa Marie Jackson NPPES

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

LISA MARIE JACKSON (NPI 1497436349) is an individual professional provider in Federal Way, Washington and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497436349
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA MARIE JACKSON
Location Address33455 6TH AVE S # 2CFederal Way, WA 98003-6074
Mailing Address11723 Se 157th StRenton, WA 98058-4636 · (253) 229-0660
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 25, 2023
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1497436349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MHCA.MC.61464859 (WA)
33455 6TH AVE S # 2C, Federal Way, WA 98003

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Lisa Marie Jackson 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 ID8729590005
PECOS Enrollment IDI20250623002700
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

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

Social Worker (Clinical)
33455 6TH AVE S # 2C
FEDERAL WAY, WA 98003

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1497436349. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Lisa Jackson located?

Lisa Jackson practices at 33455 6th Ave S # 2C, Federal Way, WA 98003. The listed phone number is (253) 210-4230.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Jackson enrolled in Medicare?

Yes. Lisa 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 Lisa Jackson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lisa 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 Lisa Jackson was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.