SELENA JACKSON MS
NPI 1679096960
Psychologist - Clinical in Newton, KS

Q: What is Selena Jackson's NPI number?

The NPI number for Selena Jackson is 1679096960. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Q: What is Selena Jackson's specialty?

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

Q: Is Selena Jackson enrolled in Medicare?

No. Selena Jackson has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Selena Jackson was last updated on July 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since July 19, 2017Opted out of Medicare · through Jun 1, 2028

1901 E 1ST ST, NEWTON, KS 67114(316) 284-6400 Get Directions Write a Review

NPPES record last updated: July 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Selena Jackson Ms NPPES

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

SELENA JACKSON MS (NPI 1679096960) is an individual clinical provider in Newton, Kansas, licensed in Kansas (2781) and active in the NPI registry since July 2017. She has opted out of Medicare through June 1, 2028 and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679096960

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSELENA JACKSONCredential: MS

Location Address1901 E 1ST STNewton, KS 67114-5010

Mailing Address2931 N Governeour St Apt 306Wichita, KS 67226-1783

Phone(316) 284-6400

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 19, 2017

✔ NPI 1679096960 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 KS · 2781

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.

1901 E 1ST ST, Newton, KS 67114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Selena Jackson Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2026 through June 1, 2028.

Opt-Out Effective DateJune 1, 2026

Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

64 services14 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

16 services16 patients

Other Providers at the Same Location NPPES 20

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

RITA MAE WILDIN RN

Registered Nurse (Psychiatric/Mental Health)

1901 E 1ST ST
NEWTON, KS 67114

Harvey County (316) 284-6400

MS. VICKI L PENNER MDIV, LMSW

Social Worker (Clinical)

1901 E 1ST ST
NEWTON, KS 67114

Harvey County (316) 284-6400

DR. RANJIT B RAM MD

Psychiatry & Neurology (Psychiatry)

1901 E 1ST ST
NEWTON, KS 67114

Harvey County (316) 284-6400

PRAIRIE VIEW INC.

Pharmacy

1901 E 1ST ST
NEWTON, KS 67114

Harvey County (316) 284-6348

SCOTT A BEFORT LMSW

Social Worker

1901 E 1ST ST
NEWTON, KS 67114

Harvey County (316) 284-6400

JANET K CARRIER LSCSW

Social Worker (Clinical)

1901 E 1ST ST
NEWTON, KS 67114

Harvey County (316) 284-6400

AMY L HAMMER LSCSW

Social Worker (Clinical)

1901 E 1ST ST, NEWTON
NEWTON, KS 67114

Harvey County (316) 284-6400

PRAIRIE VIEW, INC.

Psychiatry & Neurology (Psychiatry)

1901 E 1ST ST
NEWTON, KS 67114

Harvey County (316) 284-6400

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 Selena Jackson's NPI number?

The NPI number for Selena Jackson is 1679096960. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Selena Jackson located?

Selena Jackson practices at 1901 E 1st St, Newton, KS 67114. The listed phone number is (316) 284-6400.

What is Selena Jackson's specialty?

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

Is Selena Jackson enrolled in Medicare?

No. Selena Jackson has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Selena Jackson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Selena 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 Selena Jackson was last updated on July 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.