ALYSSA JACKSON LPC
NPI 1689563033
Counselor - Professional in Winchester, VA

NPI Status: Active since July 01, 2025

Contact Information

170 PROSPERITY DR
WINCHESTER, VA
ZIP 22602
Phone: (540) 667-8888
Fax: (540) 667-5663

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  • Individual
  • Female
  • Years of Experience 6
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALYSSA JACKSON

This page provides the complete NPI Profile along with additional information for Alyssa Jackson, a provider established in Winchester, Virginia with a medical specialization in Counselor, focusing in professional and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1689563033 assigned on July 2025. The practitioner's primary taxonomy code is 101YP2500X with license number 0701015012 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1689563033
Provider Name
ALYSSA JACKSON LPC
Gender
Female
Entity Type
Individual
Location Address
170 PROSPERITY DR WINCHESTER, VA 22602
Location Phone
(540) 667-8888
Location Fax
(540) 667-5663
Mailing Address
209 W CRISER RD STE 300 FRONT ROYAL, VA 22630
Mailing Phone
(540) 636-4250
Mailing Fax
(540) 667-5663
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
07-01-2025
Last Update Date
07-01-2025
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Location Map

Secondary Locations

  • 209 W Criser Rd
    Front Royal, VA 22630
    (540) 636-2931

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
0701015012
License State
VA

Medicare Participation & PECOS Enrollment Status

Alyssa Jackson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Alyssa Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5092213439

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250813003670

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689563033, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 5 → 10 → 1 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 0 + 6 + 6 + 0 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1689563033.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
170 PROSPERITY DR
WINCHESTER, VA 22602
Psychologist (Clinical)
170 PROSPERITY DR
WINCHESTER, VA 22602
Family Medicine
170 PROSPERITY DR
WINCHESTER, VA 22602
Nurse Practitioner (Psychiatric/Mental Health)
170 PROSPERITY DR
WINCHESTER, VA 22602
Counselor (Professional)
170 PROSPERITY DR
WINCHESTER, VA 22602
Nurse Practitioner (Psychiatric/Mental Health)
170 PROSPERITY DR
WINCHESTER, VA 22602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689563033, enumerated as an "individual" on July 01, 2025.

The provider is located at 170 PROSPERITY DR WINCHESTER, VA 22602 and the phone number is (540) 667-8888.

Counselor with taxonomy code 101YP2500X and a focus in Professional.