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

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment
170 PROSPERITY DR, WINCHESTER, VA 22602(540) 667-8888(540) 667-5663 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alyssa Jackson Lpc NPPES

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

ALYSSA JACKSON LPC (NPI 1689563033) is an individual professional provider in Winchester, Virginia, licensed in Virginia (0701015012) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Front Royal, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689563033
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALYSSA JACKSONCredential: LPC
Location Address170 PROSPERITY DRWinchester, VA 22602-5356
Mailing Address209 W Criser Rd Ste 300Front Royal, VA 22630-2360 · (540) 636-4250 · Fax (540) 636-7171
Phone(540) 667-8888
Fax(540) 667-5663
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1689563033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701015012
170 PROSPERITY DR, Winchester, VA 22602
Open in Google Maps ↗

Secondary Practice Location 1

Location 1209 W Criser RdFront Royal, VA 22630-2360 · Phone (540) 636-2931 · Fax (540) 636-2933

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Jackson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092213439
PECOS Enrollment IDI20260520001405
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.

Medicare Billing Reassignment

Medicare enrollment records show Alyssa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psych Associates Of Maryland LLC
88 mi
Psychologist
1447 YORK RD STE 601
Timonium, MD 21093
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 191 clinicians in this Medicare group
NPI 1891721981 (410) 823-6408

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 8

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

BARBARA ANNE HARRIS FESHAMI M.D.
Family Medicine
170 PROSPERITY DR
WINCHESTER, VA 22602
Frederick County (540) 869-0600
LEIGH ANN RUSH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
170 PROSPERITY DR
WINCHESTER, VA 22602
Frederick County (540) 667-8888
DR. CALANDRE JANE DAVIS PSY.D
Psychologist (Clinical)
170 PROSPERITY DR
WINCHESTER, VA 22602
Frederick County (304) 263-0811
DR. BARBARA THERESE BERNARD M.D.
Family Medicine
170 PROSPERITY DR
WINCHESTER, VA 22602
Frederick County (540) 869-0600
CHERRICA LYNELLE LINDSAY APRN
Nurse Practitioner (Psychiatric/Mental Health)
170 PROSPERITY DR
WINCHESTER, VA 22602
Frederick County (540) 667-8888
JUSTINE MEGAN BURNS LCSW
Social Worker (Clinical)
170 PROSPERITY DR
WINCHESTER, VA 22602
Frederick County (540) 667-8888
MR. JOSHUA L RILEY LPC
Counselor (Professional)
170 PROSPERITY DR
WINCHESTER, VA 22602
Frederick County (540) 667-8888
HEATHER HABAQE LPC
Counselor (Professional)
170 PROSPERITY DR
WINCHESTER, VA 22602
Frederick County (540) 667-8888

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 Alyssa Jackson's NPI number?

The NPI number for Alyssa Jackson is 1689563033. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Alyssa Jackson located?

Alyssa Jackson practices at 170 Prosperity Dr, Winchester, VA 22602. The listed phone number is (540) 667-8888.

What is Alyssa Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alyssa Jackson enrolled in Medicare?

Yes. Alyssa Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alyssa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Jackson reassigns Medicare benefits to Psych Associates Of Maryland LLC (Timonium, MD). 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 Alyssa Jackson'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 Alyssa Jackson was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.