MRS. MARILYN RENEE JACKSON LPC-S
NPI 1669693453
Counselor - Professional in Dallas, TX
About Mrs. Marilyn Renee Jackson Lpc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARILYN RENEE JACKSON LPC-S (NPI 1669693453) is an individual professional provider in Dallas, Texas, licensed in Texas (63045) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Mrs. Marilyn Renee Jackson Lpc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 2
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 Marilyn Jackson's NPI number?
The NPI number for Marilyn Jackson is 1669693453. It was assigned to this individual provider in the NPPES registry on May 1, 2007.
Where is Marilyn Jackson located?
Marilyn Jackson practices at 915 Brookmere Dr, Dallas, TX 75216. The listed phone number is (972) 502-6660.
What is Marilyn Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Marilyn Jackson enrolled in Medicare?
Yes. Marilyn Jackson is registered in the Medicare PECOS enrollment system.
What insurance does Marilyn Jackson accept?
Health plans from Providence Health Plan and WellPoint list Marilyn 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 Marilyn Jackson was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Mrs. Marilyn Renee Jackson, LPC-S · NPI 1669693453
Professional provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1669693453 (Entity type: Individual)
- **Enumerated:** May 1, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 63045 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 915 BROOKMERE DR, Dallas, TX 75216-6128
- **Phone:** (972) 502-6660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** September 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669693453) · Data from the CMS NPPES public registry.