JACKSON E RAVENSCROFT LICSW
NPI 1992110159
Counselor - Mental Health in Roslindale, MA

Q: What is Jackson Ravenscroft's NPI number?

The NPI number for Jackson Ravenscroft is 1992110159. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Q: What is Jackson Ravenscroft's specialty?

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

Active since June 26, 2014PECOS Enrolled

43 CUMMINS HWY, ROSLINDALE, MA 02131(617) 306-5049 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2023, Feb 2, 2021, Nov 28, 2020 and 2 more (5 updates tracked since 2018).

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About Jackson E Ravenscroft Licsw NPPES

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

JACKSON E RAVENSCROFT LICSW (NPI 1992110159) is an individual mental health provider in Roslindale, Massachusetts and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992110159

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJACKSON E RAVENSCROFTCredential: LICSW

Location Address43 CUMMINS HWYRoslindale, MA 02131-2523

Mailing Address43 Cummins HwyRoslindale, MA 02131-2523 · (617) 306-5049

Phone(617) 306-5049

Sole ProprietorNo

Enumeration DateJune 26, 2014

Last NPPES UpdateNovember 8, 20235 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1992110159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

43 CUMMINS HWY, Roslindale, MA 02131

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Jackson E Ravenscroft Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

STEPS TO WELLNESS PHYSICAL THERAPY

Clinic/Center (Physical Therapy)