STEPHANIE JACKMAN LMSW
NPI 1679721468
Counselor - Mental Health in Rochester, NY
About Stephanie Jackman Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE JACKMAN LMSW (NPI 1679721468) is an individual mental health provider in Rochester, New York, licensed in New York (078781) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Jackman Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Jackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14619
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Stephanie Jackman's NPI number?
The NPI number for Stephanie Jackman is 1679721468. It was assigned to this individual provider in the NPPES registry on September 4, 2008.
Where is Stephanie Jackman located?
Stephanie Jackman practices at 360 Wellington Ave, Rochester, NY 14619. The listed phone number is (585) 802-7004.
What is Stephanie Jackman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stephanie Jackman enrolled in Medicare?
Yes. Stephanie Jackman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Jackman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Jackman reassigns Medicare benefits to Stephanie Jackman Lcsw PLLC (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Jackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Jackman was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Stephanie Jackman, LMSW · NPI 1679721468
Mental Health provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since September 4, 2008.
## Identity
- **NPI:** 1679721468 (Entity type: Individual)
- **Enumerated:** September 4, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 078781 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 360 WELLINGTON AVE, Rochester, NY 14619-1210
- **Phone:** (585) 802-7004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Stephanie Jackman Lcsw PLLC (NPI 1427663269, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1679721468) · Data from the CMS NPPES public registry.