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

Q: 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.

Q: What is Amber 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 Amber Jackson was last updated on January 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.