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MS. ALFAYE JACKSON PLPC
NPI 1770749905
Counselor - Professional in Rolla, MO

Active since August 07, 2008PECOS Enrolled
104 FOX CREEK RD, ROLLA, MO 65401(417) 693-2770 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2022, Oct 8, 2021, Jul 16, 2021 and 2 more (5 updates tracked since 2019).

About Ms. Alfaye Jackson Plpc NPPES

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

MS. ALFAYE JACKSON PLPC (NPI 1770749905) is an individual professional provider in Rolla, Missouri, licensed in Missouri (2015044726) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770749905
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ALFAYE JACKSONCredential: PLPC
Location Address104 FOX CREEK RDRolla, MO 65401-3620
Mailing Address104 Fox Creek RdRolla, MO 65401-3620
Phone(417) 693-2770
Sole ProprietorYes
Enumeration DateAugust 7, 2008
Last NPPES UpdateNovember 21, 20225 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1770749905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MO · 2015044726✔ Licensed in MO · 2008015070
104 FOX CREEK RD, Rolla, MO 65401
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Other Identifiers 1

Medicaid490047336MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alfaye Jackson Plpc 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.

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 Alfaye Jackson's NPI number?

The NPI number for Alfaye Jackson is 1770749905. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Alfaye Jackson located?

Alfaye Jackson practices at 104 Fox Creek Rd, Rolla, MO 65401. The listed phone number is (417) 693-2770.

What is Alfaye Jackson's specialty?

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

Is Alfaye Jackson enrolled in Medicare?

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

What insurance does Alfaye Jackson accept?

Health plans from UnitedHealthcare list Alfaye Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alfaye Jackson was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.