Merinda Jackson, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

105 Hwy 9
Oxford, AR 72565-8861

Phone

(870) 258-3244

NPI assigned

May 21, 2007

Last updated

Feb 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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 AR

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

Medicare enrollment (NPD)

Enrolled

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.

• Birch Tree Communities Inc

  dba Conway Branch

  • Community/Behavioral Health Agency
  • Conway, AR
  • NPI 1770733768
  Medicare reassignment NPD
• Birch Tree Communities, Inc

  dba Hope House Branch

  • Community/Behavioral Health Agency
  • Benton, AR
  • NPI 1285884239
  NPD
• Birch Tree Communities, Inc

  dba Clinton Branch

  • Community/Behavioral Health Agency
  • Clinton, AR
  • NPI 1629228606
  NPD
• Birch Tree Communities Inc

  dba Oxford Branch

  • Community/Behavioral Health Agency
  • Oxford, AR
  • NPI 1750531745
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1992914832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181589",
            "telephone_number": "501-315-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HWY 9",
            "city": "OXFORD",
            "state": "AR",
            "postal_code": "725658861",
            "telephone_number": "870-258-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MERINDA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Hill
• Cynthia L Holzbierlein
• Janie Horne
• Serena Howell
• Christopher Jackson, LAC
• Crystal Jaggars
• Nathaniel Johnson
• Travis Johnson
• Katrena Jones
• Sandra Jones, CMP

• Mental Health Counselor in Oxford, AR
• Providers in Oxford, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.