Active NPI
Megan Elizabeth Jackson, MS
- Marriage & Family Therapist
- Des Moines, IA
National Provider Identifier
1629845490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 141393
- Practice address
- 5801 Franklin Ave
Des Moines, IA 50322-6131 - Phone
- (515) 277-2489
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 124688 | IA | |
| Marriage & Family Therapist | 106H00000X | 141393 | CA | Primary |
Addresses
Primary practice location
5801 Franklin Ave
Des Moines, IA 50322-6131
Mailing address
1633 E 4TH St Ste 120
Santa Ana, CA 92701-5143
Phone (714) 558-9266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124688 | IA | MD | Marriage & Family Therapist |
| 141393 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaptain Counseling and Consulting, PLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
2725 Merle Hay Rd
Des Moines, IA 50310
Phone (515) 279-9766
5801 Franklin Ave
Des Moines, IA 50322
Phone (515) 277-2489
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Des Moines, IA
- NPI 1821798687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1629845490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 E 4TH ST STE 120",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015143",
"telephone_number": "714-558-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 FRANKLIN AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503226131",
"telephone_number": "515-277-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "124688",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.