1. Home
  2. Directory
  3. Massachusetts
  4. Roslindale
  5. Counselor
  6. NPI Profile

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

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: July 19, 2026.

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

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
Open in Google Maps ↗

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 CHIROPRACTIC
Chiropractor
43 CUMMINS HWY
ROSLINDALE, MA 02131
Suffolk County (617) 942-0255
AFFORDABLE PRIORITY HOME HEALTH SERVICES LLC
Home Health
43 CUMMINS HWY
ROSLINDALE, MA 02131
Suffolk County (617) 230-6824
ELICELOT ENCARNACION LICSW
Social Worker (Clinical)
43 CUMMINS HWY
ROSLINDALE, MA 02131
Suffolk County (857) 293-1141
STEPS TO WELLNESS PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
43 CUMMINS HWY
ROSLINDALE, MA 02131
Suffolk County (617) 942-0255
ORGANIZATION NAME: SUNNYSIDE COUNSELING COLLECTIVE INC.
Social Worker (Clinical)
43 CUMMINS HWY
ROSLINDALE, MA 02131
Suffolk County (617) 942-0123

Frequently Asked Questions

What is Jackson Ravenscroft's NPI number?

The NPI number assigned to this healthcare provider is 1992110159, enumerated as an "individual" on June 26, 2014.

Where is the provider located?

The provider is located at 43 CUMMINS HWY ROSLINDALE, MA 02131 and the phone number is (617) 306-5049.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Jackson Ravenscroft accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.