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JERROLD JACKSON
NPI 1598021081
Counselor - Mental Health in Tukwila, WA

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
10216 BEACON AVE S, TUKWILA, WA 98178(425) 761-9469 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerrold Jackson NPPES

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

JERROLD JACKSON (NPI 1598021081) is an individual mental health provider in Tukwila, Washington, licensed in Washington (LH61262872) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1598021081
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERROLD JACKSON
Location Address10216 BEACON AVE STukwila, WA 98178-2039
Mailing Address10216 Beacon Ave STukwila, WA 98178-2039
Phone(425) 761-9469
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 9, 2012
Last NPPES UpdateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1598021081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61262872
Also ListedCounselorTaxonomy 101Y00000X
10216 BEACON AVE S, Tukwila, WA 98178
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Jerrold 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 ID6002349479
PECOS Enrollment IDI20241024002090
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.

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 Jerrold Jackson's NPI number?

The NPI number for Jerrold Jackson is 1598021081. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Jerrold Jackson located?

Jerrold Jackson practices at 10216 Beacon Ave S, Tukwila, WA 98178. The listed phone number is (425) 761-9469.

What is Jerrold Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jerrold Jackson enrolled in Medicare?

Yes. Jerrold 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 Jerrold Jackson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jerrold 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 Jerrold Jackson was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.