MRS. VANESSA MICHELLE JACKSON
NPI 1932679172
Counselor - Mental Health in Austin, TX

Q: What is Vanessa Jackson's NPI number?

The NPI number for Vanessa Jackson is 1932679172. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Q: What is Vanessa Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Jackson was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since November 30, 2018PECOS EnrolledAccepts Medicare Assignment

11754 JOLLYVILLE RD STE 110, AUSTIN, TX 78759(512) 331-2700(512) 665-5796 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2024, Nov 30, 2018 (2 updates tracked since 2018).

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About Mrs. Vanessa Michelle Jackson NPPES

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

MRS. VANESSA MICHELLE JACKSON (NPI 1932679172) is an individual mental health provider in Austin, Texas and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1932679172

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. VANESSA MICHELLE JACKSON

Location Address11754 JOLLYVILLE RD STE 110Austin, TX 78759-3948

Mailing Address11754 Jollyville Rd Ste 110Austin, TX 78759-3948 · (512) 331-2700 · Fax (512) 665-5796

Phone(512) 331-2700

Fax(512) 665-5796

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 30, 2018

Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1932679172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

11754 JOLLYVILLE RD STE 110, Austin, TX 78759

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Vanessa Michelle Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446603336

PECOS Enrollment IDI20240126002387

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.

JESSICA MEYER

Counselor (Professional)