Individual provider Active NPI

Marsha Jackson, LMFT

  • Marriage & Family Therapist
  • Longview, TX
National Provider Identifier
1861690190
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
107 Community Blvd Ste 2
Longview, TX 75605-6186
Phone
(903) 650-9848
NPI assigned
Jul 9, 2007
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

107 Community Blvd Ste 2
Longview, TX 75605-6186

Mailing address

107 Community Blvd Ste 2
Longview, TX 75605-6186
Phone (903) 650-9848

Other practice location 1

510 E Loop 281 # 633B
Longview, TX 75605-5077
Phone (805) 404-6808

Other names 1

  • Marsha Reed Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Marsha.Jackson@liveoakhealing.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240429000707 TX Practitioner - Marriage and Family Therapist 3375983059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Community Blvd
Suite 2
Longview, TX 75605-6186
Phone (903) 650-9848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Oak Counseling and Wellness, LLC Marriage & Family Therapist CurrentSince May 9, 2024 Accepting new patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Jun 20, 2024 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

107 Community Blvd
Ste 2
Longview, TX 75605
Phone (903) 574-4413

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1861690190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMUNITY BLVD STE 2",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756056186",
            "telephone_number": "903-650-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COMMUNITY BLVD STE 2",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756056186",
            "telephone_number": "903-650-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Loop 281 # 633B",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055077",
            "country_code": "US",
            "telephone_number": "805-404-6808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARSHA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marsha.Jackson@liveoakhealing.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "510 E Loop 281 # 633B",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756055077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "REED",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.