Letitia Jackson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5045 Issued in CO

Practice address

13731 E Rice PL Ste 200
Aurora, CO 80015-1077

Phone

(720) 949-1707

Fax

(206) 392-3177

NPI assigned

Sep 17, 2008

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reflective Wellness Mind and BodyGroup PAC ID 5294176186, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Reflective Wellness Mind and Body

  • Mental Health Counselor
  • Aurora, CO
  • NPI 1083250039
  Medicare reassignment Care Compare group NPD Authorized official
• Reflective Wellness Mind and Body

  • Professional Counselor
  • Bennett, CO
  • NPI 1104578806
  NPD Authorized official

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1962651703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 E RICE PL STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151077",
            "telephone_number": "720-949-1707",
            "fax_number": "206-392-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 E RICE PL STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151077",
            "telephone_number": "720-949-1707",
            "fax_number": "206-392-3177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13731 E Rice Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800151077",
            "country_code": "US",
            "telephone_number": "720-949-1707",
            "fax_number": "206-392-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LETITIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "5045",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Devorah Jackson, M.S.W.
• Jeremy Jackson, OTD, OTR/L
• Kayla Jackson, LCSW
• Laura Beth Jackson
• Lee M. Jackson, RDH
• Mayde Aiesha Jackson, MA, LPC
• Michelene Jackson, PA
• Monica D Jackson
• Natasha Ann Jackson
• Natasha Monique Jackson

• 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 Nov 4, 2019; 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.