MRS. TERI LEA JACKSON
NPI 1700983509
Marriage & Family Therapist in Susanville, CA

Q: What is Teri Jackson's NPI number?

The NPI number for Teri Jackson is 1700983509. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Teri Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Teri Jackson was last updated on March 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 20, 2006PECOS Enrolled

555 HOSPITAL LN, SUSANVILLE, CA 96130(530) 251-8108 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Teri Lea Jackson NPPES

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

MRS. TERI LEA JACKSON (NPI 1700983509) is an individual marriage & family therapist in Susanville, California, licensed in California (68899) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700983509

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. TERI LEA JACKSON

Location Address555 HOSPITAL LNSusanville, CA 96130-4808

Mailing Address6219 Stonehedge DrMarysville, CA 95901-9519 · (530) 713-8266

Phone(530) 251-8108

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 19, 2015

✔ NPI 1700983509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 68899

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

555 HOSPITAL LN, Susanville, CA 96130

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Other Identifiers 1

Other68899CA · Board Of Behavioral Sciences

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. Teri Lea Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.