MIRANDA JEAN JACKSON
NPI 1750683447
Counselor - Professional in Parker, CO

Q: What is Miranda Jackson's NPI number?

The NPI number for Miranda Jackson is 1750683447. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Q: What is Miranda Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miranda Jackson was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 01, 2010PECOS EnrolledAccepts Medicare Assignment

9949 S OSWEGO ST STE 300, PARKER, CO 80134(303) 649-3100(303) 649-3101 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miranda Jean Jackson NPPES

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

MIRANDA JEAN JACKSON (NPI 1750683447) is an individual professional provider in Parker, Colorado, licensed in Colorado (LPC.0011343) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Strasburg, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750683447

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMIRANDA JEAN JACKSON

Location Address9949 S OSWEGO ST STE 300Parker, CO 80134-3888

Mailing Address9949 S Oswego St Ste 300Parker, CO 80134-3888 · (303) 649-3100 · Fax (303) 649-3101

Phone(303) 649-3100

Fax(303) 649-3101

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateDecember 1, 2010

Last NPPES UpdateFebruary 20, 2026

NPPES CertifiedFebruary 20, 2026

✔ NPI 1750683447 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 CO · LPC.0011343

9949 S OSWEGO ST STE 300, Parker, CO 80134

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Secondary Practice Location 1

Location 155981 E Colfax AveStrasburg, CO 80136-8014 · Phone (719) 632-5700 · Fax (719) 344-7817

Other Identifiers 1

Medicaid28034546CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miranda Jean Jackson 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 ID6709017924

PECOS Enrollment IDI20240102001083

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.

Other Providers at the Same Location NPPES 7

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

LAURA HEFFERN FNP

Nurse Practitioner (Family)