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Dr. Jacob Jerry Jackson

PHD, LMHC, CADC

Counselor - Mental Health

NPI: 1003366329Le Mars, Iowa, 51031(712) 546-4624Male

About Dr. Jacob Jerry Jackson

Dr. Jacob Jerry Jackson, PHD, LMHC, CADC, is a male healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1003366329.

Dr. Jacob Jerry Jackson received his medical education at OTHER, graduating in 2016. Their primary practice is located at 180 10TH ST SE STE 201, Le Mars, Iowa 51031. Patients can reach the office at (712) 546-4624.

Dr. Jacob Jerry Jackson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Dr. Jacob Jerry Jackson has been NPI-registered since 2016.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1003366329
Entity Type
Individual
First Name
Jacob
Last Name
Jackson
Credential
PHD, LMHC, CADC
Gender
Male
Medical School
OTHER
Graduation Year
2016
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
180 10TH ST SE STE 201
City
Le Mars
State
Iowa
ZIP
51031-2557
Country
United States
Phone
(712) 546-4624
Fax
(712) 546-9395

Specialty & Taxonomy

Primary Specialty
Counselor - Mental Health
Classification
Counselor
Specialization
Mental Health
Taxonomy Code
101YM0800X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
180 10TH ST SE
City
LE MARS
State
IA
ZIP
510312559

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Dr. Jacob Jerry Jackson's NPI number?
Dr. Jacob Jerry Jackson's National Provider Identifier (NPI) is 1003366329. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Jacob Jerry Jackson specialize in?
Dr. Jacob Jerry Jackson specializes in Counselor - Mental Health. They received their medical education at OTHER (class of 2016).
Where is Dr. Jacob Jerry Jackson located?
Dr. Jacob Jerry Jackson practices at 180 10TH ST SE STE 201, Le Mars, Iowa 51031. You can reach them by phone at (712) 546-4624.
Does Dr. Jacob Jerry Jackson accept Medicare?
Yes, Dr. Jacob Jerry Jackson is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Jacob Jerry Jackson offer telehealth or virtual visits?
Dr. Jacob Jerry Jackson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Jacob Jerry Jackson is 1003366329.