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AMBER R JACKSON LPC
NPI 1760029086
Counselor - Professional in Aurora, CO

Active since December 05, 2019PECOS Enrolled
12500 E ILIFF AVE, AURORA, CO 80014(970) 494-5891(970) 494-5895 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2022, Dec 5, 2019 (2 updates tracked since 2019).

About Amber R Jackson Lpc NPPES

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

AMBER R JACKSON LPC (NPI 1760029086) is an individual professional provider in Aurora, Colorado, licensed in Colorado (LPC.0017796) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760029086
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMBER R JACKSONCredential: LPC
Location Address12500 E ILIFF AVEAurora, CO 80014-1268
Mailing Address10100 Elida RdDelphos, OH 45833-9056 · (619) 695-8010 · Fax (619) 695-8010
Phone(970) 494-5891
Fax(970) 494-5895
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 5, 2019
Last NPPES UpdateJanuary 11, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
✔ NPI 1760029086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0017796
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12500 E ILIFF AVE, Aurora, CO 80014
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber R Jackson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406341015
PECOS Enrollment IDI20251222000308
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 Amber Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mile High Council On Alcoholism And Drug Abuse
5.2 mi
Rehabilitation, Substance Use Disorder
2178 VICTOR ST
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 21 clinicians in this Medicare group
NPI 1346979895 (303) 825-8113

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.

GABRIEL SCHNEIDER
Counselor (Professional)
12500 E ILIFF AVE
AURORA, CO 80014
Arapahoe County (419) 695-8010
NEAL KAUSHAL GOKLI LSW
Social Worker
12500 E ILIFF AVE
AURORA, CO 80014
Arapahoe County (970) 494-5891
CHLOE P DEMARSH LCSW
Social Worker (Clinical)
12500 E ILIFF AVE
AURORA, CO 80014
Arapahoe County (419) 695-8010
DR. MARTA SHERIDAN EDD, LPC
Counselor (Mental Health)
12500 E ILIFF AVE
AURORA, CO 80014
Arapahoe County (720) 506-9645
LUCKY AYIVOR
Case Manager/Care Coordinator
12500 E ILIFF AVE
AURORA, CO 80014
Arapahoe County (720) 506-9645
SARAH J VONDLE MA
Counselor (Professional)
12500 E ILIFF AVE
AURORA, CO 80014
Arapahoe County (970) 506-9645
MELISSA ENG
Case Manager/Care Coordinator
12500 E ILIFF AVE
AURORA, CO 80014
Arapahoe County (720) 506-9645
DR. ANGELA VIZZI
Case Manager/Care Coordinator
12500 E ILIFF AVE
AURORA, CO 80014
Arapahoe County (720) 506-9645

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 Amber Jackson's NPI number?

The NPI number for Amber Jackson is 1760029086. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Amber Jackson located?

Amber Jackson practices at 12500 E Iliff Ave, Aurora, CO 80014. The listed phone number is (970) 494-5891.

What is Amber Jackson's specialty?

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

Is Amber Jackson enrolled in Medicare?

Yes. Amber Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amber Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Jackson reassigns Medicare benefits to Mile High Council On Alcoholism And Drug Abuse (Aurora, CO). 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 Amber 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 Amber Jackson was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.