Miranda Jean Jackson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0011343 Issued in CO

Practice address

9949 S Oswego St Ste 300
Parker, CO 80134-3888

Phone

(303) 649-3100

Fax

(303) 649-3101

NPI assigned

Dec 1, 2010

Last updated

Feb 20, 2026By the provider in NPPES

Sex

Female

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 CO

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miranda.jackson.p1@direct.peakvista.nextgenshare.com

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.

• Portercare Adventist Health System

  dba Affiliated Ear, Nose & Throat Physicians

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  Medicare reassignment Care Compare group
• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1730166034
  Medicare reassignment NPD
• Peak Vista Community Health Centers

  dba Behavioral Health at Inside Out Youth Services

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1871347443
  NPD
• Portercare Adventist Health System

  dba AdventHealth Medical Group Endocrine Surgery at Parker

  • Surgery Physician
  • Parker, CO
  • NPI 1295549731
  NPD
• Portercare Adventist Health System

  dba AdventHealth Medical Group Urology at Lakewood

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1750683447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 S OSWEGO ST STE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343888",
            "telephone_number": "303-649-3100",
            "fax_number": "303-649-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9949 S OSWEGO ST STE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343888",
            "telephone_number": "303-649-3100",
            "fax_number": "303-649-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55981 E Colfax Ave",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "CO",
            "postal_code": "801368014",
            "country_code": "US",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MIRANDA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28034546",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Ivey, MA
• Courtney L Ivy, OTR/L
• Jacqueline A. Jackson-Driskell, M.A., L.P.C.
• Alison Michelle Jackson, DNP, APRN, FNP-C
• Jordan Renae Jackson
• Jana L Jacobs, D.O.
• Shelby Jacobs
• Christine Lynn Jacobsen, LMT
• Jenna Jacobson, P.A.-C
• Sarah Elizabeth Jacquot, OTR/L

• Professional Counselor in Parker, CO
• Providers in Parker, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.