Erin Denise Jackson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

72161 Issued in TX

Practice address

219 W. Brown St
Suite a
Ennis, TX 75119

Phone

(817) 219-4189

Fax

(972) 875-3808

NPI assigned

Jan 14, 2016

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

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jackson Services & Management LLC

  • Professional Counselor
  • Ennis, TX
  • NPI 1730005836
  NPD (past) Authorized official
• Collins Services & Management LLC

  • Professional Counselor
  • Ennis, TX
  • NPI 1952664203
  NPD (past)

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1912363300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W. BROWN ST",
            "address_2": "SUITE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "75119",
            "telephone_number": "817-219-4189",
            "fax_number": "972-875-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W. BROWN ST",
            "address_2": "SUITE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "75119",
            "telephone_number": "817-219-4189",
            "fax_number": "972-875-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ERIN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innate Medical Solutions PLLC
• International Healthcare Supplies & Equipment Inc
• Syed Iqbal
• Heather Rae Ivers, PHARM.D., R.PH.
• Jackson Services & Management LLC
• Ajaykumar R Jadeja, RPH
• Janie E. Roberson MD PA Dba North Texas Children's Clinic
• Basem Jassin, M.D.
• Jerry Northcutt, PLLC (Ellis County Eye Center)
• Jill Van Horn DO a Professional Corporation

• Professional Counselor in Ennis, TX
• Providers in Ennis, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.