ELYCE JACKSON
NPI 1942708268
Counselor - Mental Health in Eatontown, NJ
About Elyce Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELYCE JACKSON (NPI 1942708268) is an individual mental health provider in Eatontown, New Jersey, licensed in New Jersey (37AC00303100) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Elyce 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.
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 Elyce Jackson's NPI number?
The NPI number for Elyce Jackson is 1942708268. It was assigned to this individual provider in the NPPES registry on February 1, 2018.
Where is Elyce Jackson located?
Elyce Jackson practices at 10 Industrial Way, Eatontown, NJ 07724. The listed phone number is (732) 673-3183.
What is Elyce Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Elyce Jackson enrolled in Medicare?
Yes. Elyce Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Elyce Jackson was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Elyce Jackson · NPI 1942708268
Mental Health provider in Eatontown, New Jersey. Individual provider, active in the CMS NPPES registry since February 1, 2018.
## Identity
- **NPI:** 1942708268 (Entity type: Individual)
- **Enumerated:** February 1, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 37AC00303100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 INDUSTRIAL WAY, Eatontown, NJ 07724
- **Phone:** (732) 673-3183
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1942708268) · Data from the CMS NPPES public registry.