Individual provider Active NPI

Essence Jackson-Jones, MA, LCPC

  • Professional Counselor
  • Muskegon, MI
National Provider Identifier
1013674407
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87854 Issued in TX
Practice address
1411 Dudley Ave
Muskegon, MI 49442-2204
Phone
(773) 403-7605
NPI assigned
Nov 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X
Professional Counselor 101YP2500X 180014133 IL
Professional Counselor 101YP2500X 87854 TX Primary

Addresses

Primary practice location

1411 Dudley Ave
Muskegon, MI 49442-2204

Mailing address

1411 Dudley Ave
Muskegon, MI 49442-2204
Phone (773) 403-7605

Other practice location 1

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002540 TX Practitioner - Mental Health Counselor 6507215092 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180014133ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aura Art Space PLLC Current Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Mar 6, 2026 Accepting new patients

Locations

3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (405) 314-0960

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1013674407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 DUDLEY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494422204",
            "telephone_number": "773-403-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 DUDLEY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494422204",
            "telephone_number": "773-403-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Esters Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750632233",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-JONES",
        "first_name": "ESSENCE",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014133",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.