LISA MARIE JACKSON
NPI 1497436349
Counselor - Professional in Federal Way, WA
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
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redmond, WA 98052
- Reassigned Medicare billing, Washington enrollment
- 69 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
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 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.
Which organization bills Medicare for Lisa Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jackson reassigns Medicare benefits to Lightheart Associates Ps (Redmond, WA). The 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 Lisa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Jackson accept?
Health plans from Ambetter Health, 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 19 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.
# Lisa Marie Jackson · NPI 1497436349
Professional provider in Federal Way, Washington. Individual provider, active in the CMS NPPES registry since July 25, 2023.
## Identity
- **NPI:** 1497436349 (Entity type: Individual)
- **Enumerated:** July 25, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 33455 6TH AVE S # 2C, Federal Way, WA 98003-6074
- **Phone:** (253) 210-4230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lightheart Associates Ps (NPI 1609221720, Redmond, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1497436349) · Data from the CMS NPPES public registry.