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NELL T JACKSON M.A., L.P.C.
NPI 1902141427
Counselor - Professional in Bernardsville, NJ

Active since December 10, 2012Opted out of Medicare · through Apr 15, 2028
29 OLCOTT SQ, SUITE 2, BERNARDSVILLE, NJ 07924(908) 953-9200(908) 953-9220 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nell T Jackson M.a., L.p.c. NPPES

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

NELL T JACKSON M.A., L.P.C. (NPI 1902141427) is an individual professional provider in Bernardsville, New Jersey, licensed in New Jersey (37PC00090600) and active in the NPI registry since December 2012. She has opted out of Medicare through April 15, 2028.

NPPES Registry Identity

NPI1902141427
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNELL T JACKSONCredential: M.A., L.P.C.
Location Address29 OLCOTT SQ, SUITE 2Bernardsville, NJ 07924-2306
Mailing Address29 Olcott Sq, Suite 2Bernardsville, NJ 07924-2306 · (908) 953-9200 · Fax (908) 953-9220
Phone(908) 953-9200
Fax(908) 953-9220
Sole ProprietorYes
Enumeration DateDecember 10, 2012
✔ NPI 1902141427 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 NJ · 37PC00090600
29 OLCOTT SQ, Bernardsville, NJ 07924
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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

Nell T Jackson M.a., L.p.c. 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 April 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024
Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Nell Jackson's NPI number?

The NPI number for Nell Jackson is 1902141427. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Where is Nell Jackson located?

Nell Jackson practices at 29 Olcott Sq Suite 2, Bernardsville, NJ 07924. The listed phone number is (908) 953-9200.

What is Nell Jackson's specialty?

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

Is Nell Jackson enrolled in Medicare?

No. Nell Jackson has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nell Jackson was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.