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MELISSA JACKSON
NPI 1891235933
Marriage & Family Therapist in Mission Viejo, CA

Active since March 07, 2017Opted out of Medicare · through Mar 25, 2028
21332 TARRACO, MISSION VIEJO, CA 92692(317) 345-5802(949) 600-6999 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Oct 25, 2020 (2 updates tracked since 2020).

About Melissa Jackson NPPES

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

MELISSA JACKSON (NPI 1891235933) is an individual marriage & family therapist in Mission Viejo, California, licensed in California (122531) and active in the NPI registry since March 2017. She has opted out of Medicare through March 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891235933
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMELISSA JACKSON
Location Address21332 TARRACOMission Viejo, CA 92692-5921
Mailing Address21332 TarracoMission Viejo, CA 92692-5921 · (317) 345-5802 · Fax (949) 600-6999
Phone(317) 345-5802
Fax(949) 600-6999
Sole ProprietorYes
Enumeration DateMarch 7, 2017
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1891235933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 122531
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
21332 TARRACO, Mission Viejo, CA 92692
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melissa Jackson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 25, 2026 through March 25, 2028.

Opt-Out Effective DateMarch 25, 2026
Opt-Out In Effect ThroughMarch 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1891235933. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Where is Melissa Jackson located?

Melissa Jackson practices at 21332 Tarraco, Mission Viejo, CA 92692. The listed phone number is (317) 345-5802.

What is Melissa Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Melissa Jackson enrolled in Medicare?

No. Melissa Jackson has opted out of Medicare through March 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Melissa Jackson was last updated on July 5, 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.