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LANETTE JACKSON LPC
NPI 1821688789
Counselor - Professional in Colorado Springs, CO

Active since January 24, 2021PECOS Enrolled
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920(719) 632-4455 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2024, Jan 24, 2021 (2 updates tracked since 2021).

About Lanette Jackson Lpc NPPES

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

LANETTE JACKSON LPC (NPI 1821688789) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0020748) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821688789
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLANETTE JACKSONCredential: LPC
Location Address4190 E WOODMEN RD STE 100Colorado Springs, CO 80920-8075
Mailing Address4190 E Woodmen Rd Ste 100Colorado Springs, CO 80920-8075 · (719) 632-4455
Phone(719) 632-4455
Sole ProprietorYes
Enumeration DateJanuary 24, 2021
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1821688789 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.0020748
4190 E WOODMEN RD STE 100, Colorado Springs, CO 80920
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Lanette Jackson Lpc 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.

Other Providers at the Same Location NPPES 20

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

DR. SUSAN E. MATTHEWS M.D.
Internal Medicine
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 632-4455
DR. PAUL JON HOUGE MD
Pediatrics
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 632-4455
ANNELIESE MARIE HALE PA-C
Physician Assistant
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 632-4455
MATTHEW C WALTMAN
Behavior Analyst
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 632-4455
AMY DEAN KAMMERZELL NP-C
Nurse Practitioner (Gerontology)
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 632-4455
STEPHANIE CC YU CHON RN CPNP
Nurse Practitioner (Pediatrics)
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 632-4455
SHELDON RAVIN DO
Family Medicine
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 632-4455
DR. TRAVIS KOTTER DPM
Podiatrist (Foot & Ankle Surgery)
4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO 80920
El Paso County (719) 632-4455

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 Lanette Jackson's NPI number?

The NPI number for Lanette Jackson is 1821688789. It was assigned to this individual provider in the NPPES registry on January 24, 2021.

Where is Lanette Jackson located?

Lanette Jackson practices at 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920. The listed phone number is (719) 632-4455.

What is Lanette Jackson's specialty?

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

Is Lanette Jackson enrolled in Medicare?

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

What insurance does Lanette Jackson accept?

Health plans from Providence Health Plan list Lanette 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 Lanette Jackson was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.