MS. MELISSA RENA JACKSON MHR, LPC
NPI 1609145184
Counselor in Midwest City, OK

Active since December 29, 2011PECOS Enrolled
11541 VILLAGE AVE, MIDWEST CITY, OK 73130(405) 201-3646 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Melissa Rena Jackson Mhr, Lpc NPPES

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

MS. MELISSA RENA JACKSON MHR, LPC (NPI 1609145184) is an individual counselor in Midwest City, Oklahoma and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609145184
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. MELISSA RENA JACKSONCredential: MHR, LPC
Location Address11541 VILLAGE AVEMidwest City, OK 73130-8207
Mailing Address11541 Village AveMidwest City, OK 73130-8207 · (405) 201-3646
Sole ProprietorYes
Enumeration DateDecember 29, 2011
Last NPPES UpdateAugust 29, 2013
NPI 1609145184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
11541 VILLAGE AVE, Midwest City, OK 73130

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 (PECOS)

Ms. Melissa Rena Jackson Mhr, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1609145184. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Melissa Jackson located?

Melissa Jackson practices at 11541 Village Ave, Midwest City, OK 73130. The listed phone number is (405) 201-3646.

What is Melissa Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Melissa Jackson enrolled in Medicare?

Yes. Melissa Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Melissa Jackson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Melissa 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 Melissa Jackson was last updated on August 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.