Amber R Jackson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0017796 Issued in CO

Practice address

12500 E Iliff Ave
Aurora, CO 80014-1268

Phone

(970) 494-5891

Fax

(970) 494-5895

NPI assigned

Dec 5, 2019

Last updated

Jan 11, 2022By 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 2

Addresses

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, 2019

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

• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1225867666
  Medicare reassignment NPD
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Family Medicine Physician
  • Westminster, CO
  • NPI 1356063085

  Multi-Specialty

  NPD
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Family Medicine Physician
  • Denver, CO
  • NPI 1013639723

  Multi-Specialty

  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Aurora, CO
  • NPI 1023847472
  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Englewood, CO
  • NPI 1114731460
  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1134973894

  Multi-Specialty

  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sheridan, CO
  • NPI 1255980959
  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Sheridan, CO
  • NPI 1265192371
  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1275387938

  Multi-Specialty

  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Denver, CO
  • NPI 1336878883
  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, CO
  • NPI 1346979895
  NPD (past)
• Mile High Council on Alcoholism and Drug Abuse

  dba Mile High Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1356921589
  NPD (past)

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1760029086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "619-695-8010",
            "fax_number": "619-695-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141268",
            "telephone_number": "970-494-5891",
            "fax_number": "970-494-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AMBER",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017796",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adria Jonette Jackson, FNP-C
• Alaysja Marie Jackson
• Alexandra Tatiana Jackson, LMSW
• Alfred Jackson, MD
• Aliyah Jackson
• Anatacia Jackson
• Arwen Jackson
• Bradley Kent Jackson, PHD
• Brian Michael Jackson
• Bridget Jackson, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.