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MARY JACKSON LPC-22257
NPI 1881374684
Counselor - Professional in Payson, AZ

Active since July 18, 2023PECOS Enrolled
404 W AERO DR, PAYSON, AZ 85541(928) 474-3303 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jackson Lpc-22257 NPPES

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

MARY JACKSON LPC-22257 (NPI 1881374684) is an individual professional provider in Payson, Arizona, licensed in Arizona (LPC-22257) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1881374684
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY JACKSONCredential: LPC-22257
Location Address404 W AERO DRPayson, AZ 85541-5407
Mailing Address404 W Aero DrPayson, AZ 85541-5407 · (928) 474-3303
Phone(928) 474-3303
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1881374684 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 AZ · LPC-22257
404 W AERO DR, Payson, AZ 85541
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.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)

Mary Jackson Lpc-22257 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456704006
PECOS Enrollment IDI20240130002862
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 8

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

SOUTHWEST BEHAVIORAL HEALTH SERVICES INC
Community/Behavioral Health
404 W AERO DR
PAYSON, AZ 85541
Gila County (928) 468-8055
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
404 W AERO DR
PAYSON, AZ 85541
Gila County (928) 238-3024
DR. DALLIN DURFEE PHARM D
Pharmacist
404 W AERO DR
PAYSON, AZ 85541
Gila County (928) 238-3024
SOUTHWEST BEHAVIORAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
404 W AERO DR
PAYSON, AZ 85541
Gila County (928) 474-3303
DR. MICHAEL VERNON MCENTIRE II LPC
Counselor (Professional)
404 W AERO DR
PAYSON, AZ 85541
Gila County (928) 474-3303
SHERRILY BROWN MULLENEAUX CFNP
Nurse Practitioner (Family)
404 W AERO DR
PAYSON, AZ 85541
Gila County (602) 351-6986
WILLIAM NEAL
Counselor (Professional)
404 W AERO DR
PAYSON, AZ 85541
Gila County (928) 474-3303
SOUTHWEST BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
404 W AERO DR
PAYSON, AZ 85541
Gila County (928) 474-3303

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1881374684. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Mary Jackson located?

Mary Jackson practices at 404 W Aero Dr, Payson, AZ 85541. The listed phone number is (928) 474-3303.

What is Mary Jackson's specialty?

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

Is Mary Jackson enrolled in Medicare?

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

What insurance does Mary Jackson accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Mary 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 Mary Jackson was last updated on July 18, 2023. 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.