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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHELSEA R JACKSON
NPI 1669389250
Psychologist - Clinical in Burlington, WI

Active since August 27, 2026PECOS Enrolled
345 MILWAUKEE AVE, BURLINGTON, WI 53105(267) 410-0903 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Chelsea R Jackson NPPES

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

CHELSEA R JACKSON (NPI 1669389250) is an individual clinical provider in Burlington, Wisconsin, licensed in Wisconsin (5609-57) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669389250
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCHELSEA R JACKSON
Location Address345 MILWAUKEE AVEBurlington, WI 53105-1228
Mailing Address345 Milwaukee AveBurlington, WI 53105-1228
Phone(267) 410-0903
Sole ProprietorYes
Enumeration DateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1669389250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 5609-57
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
345 MILWAUKEE AVE, Burlington, WI 53105
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chelsea R Jackson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. CASSANDRA BRAAM PH.D.
Psychologist (Clinical)
345 MILWAUKEE AVE
BURLINGTON, WI 53105
Racine County (262) 763-9191
AUBREY ELIZABETH THOMPSON MSW
Social Worker
345 MILWAUKEE AVE
BURLINGTON, WI 53105
Racine County (262) 763-9191
ANNA TERESA EVANS LCPC, CADC
Counselor (Professional)
345 MILWAUKEE AVE
BURLINGTON, WI 53105
Racine County (262) 763-9191
DR. PAULA K COOPER PH.D.
Psychologist
345 MILWAUKEE AVE
BURLINGTON, WI 53105
Racine County (262) 763-9191

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 Chelsea Jackson's NPI number?

The NPI number for Chelsea Jackson is 1669389250. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Where is Chelsea Jackson located?

Chelsea Jackson practices at 345 Milwaukee Ave, Burlington, WI 53105. The listed phone number is (267) 410-0903.

What is Chelsea Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Chelsea Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chelsea Jackson was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.