Michael Jordain Jackson, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

91439 Issued in TX

Practice address

3000 Polar LN Ste 501
Cedar Park, TX 78613-3073

Phone

(512) 400-4321

NPI assigned

Jun 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moonstone Counseling PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1124655675
  Medicare reassignment
• Austin Counseling and Trauma Specialists, PLLC

  • Professional Counselor
  • Cedar Park, TX
  • NPI 1306403266
  NPD
• North Star Counseling and Trauma Specialists, PLLC

  • Professional Counselor
  • Wayzata, MN
  • NPI 1750242715
  NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1043052707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 POLAR LN STE 501",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133073",
            "telephone_number": "512-400-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 POLAR LN STE 501",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133073",
            "telephone_number": "512-400-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MICHAEL",
        "middle_name": "JORDAIN",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Ridge Counseling
• Inspire Behavior Therapy
• Inspire Behavior Therapy & Consulting
• Integrity Psychology of Austin PLLC
• Emily Ismail
• Steven Anthony Jaeckle, PA-C
• Mohammad Jahadi, D.C.
• Pooneh Jahadi, PH.D.
• Kristen Jahns, FNP
• Micah Jaksik, LPC

• Professional Counselor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.