Chad Jackson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11415 Issued in MT

Practice address

3225 1St Ave N
Billings, MT 59101-2104

Phone

(406) 794-8951

NPI assigned

Jun 23, 2015

Last updated

Feb 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Spark PC

  • Community/Behavioral Health Agency
  • Billings, MT
  • NPI 1730035478
  NPD Authorized official
• Silver Spark PC

  • Professional Counselor
  • Billings, MT
  • NPI 1003650292
  Authorized official Same address or phone

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1316329667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22982",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591042982",
            "telephone_number": "406-794-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 1ST AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591012104",
            "telephone_number": "406-794-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "11415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316329667",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J&J Caregivers, LLC
• J&J Caregivers, LLC (Your Home Away From Home II)
• J&K Browning Investments LLC (Rehder Balance and Hearing Clinic)
• Jeremy Wallace Jack, LCPC
• Justin Jackman, DO
• Emma Anne Jackson, PA-C
• Emmaline Sue Jackson, NP
• Jack Jackson
• James Austin Jackson
• Kendall L Jackson, LCPC

• Professional Counselor in Billings, MT
• Providers in Billings, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.