Elaine White Jackson, LPCC,IIMFT in Strongsville, OH

Elaine White Jackson, LPCC,IIMFT is a medicare enrolled "Counselor - Mental Health" provider in Strongsville, Ohio. Her current practice location is 14843 W Sprague Rd, Suite A, Strongsville, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 234-9955.

Elaine White Jackson is licensed to practice in Ohio (license number E0001726) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548310048.

Contact Information

	Elaine White Jackson, LPCC,IIMFT
	14843 W Sprague Rd, Suite A, Strongsville, OH 44136-1754
	(440) 234-9955
	(440) 234-5994

Map and Direction

Healthcare Provider's Profile

Full Name	Elaine White Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	14843 W Sprague Rd, Strongsville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548310048
Provider Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6305283755
Enrollment ID: I20240321002130

Medical Identifiers

Medical identifiers for Elaine White Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548310048	NPI	-	NPPES
E0001726	Other	OH	LPCC
F0000082	Other	OH	IMFT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E0001726 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elaine White Jackson allows following entities to bill medicare on her behalf.

Entity Name	Strongsville Psychological Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942347661 PECOS PAC ID: 5193740801 Enrollment ID: O20051012000241

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elaine White Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elaine White Jackson, LPCC,IIMFT 14843 W Sprague Rd, Suite A, Strongsville, OH 44136-1754 Ph: (440) 234-9955	Elaine White Jackson, LPCC,IIMFT 14843 W Sprague Rd, Suite A, Strongsville, OH 44136-1754 Ph: (440) 234-9955

Reviews and Comments

Counselor in Strongsville, OH

Mrs. Deborah Kay Smith-prendes, P.P.C.-S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14843 W Sprague Rd, Suite A, Strongsville, OH 44136 Phone: 440-234-9955 Fax: 440-234-5994
Ms. Brittany Marie Buffington, PCC-S. Counselor Medicare: Medicare Enrolled Practice Location: 13477 Prospect Rd Ste 104a, Strongsville, OH 44149 Phone: 440-207-0572
Sara L Wasserman, BS, MA, LPC, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 14843 W Sprague Rd, #a, Strongsville, OH 44136 Phone: 440-234-9955
Devann Emile Frankhouse, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11565 Pearl Rd Ste 200, Strongsville, OH 44136 Phone: 440-846-0862 Fax: 440-846-0890
Jill Nicole Tayfel, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14843 W Sprague Rd, Suite A, Strongsville, OH 44136 Phone: 440-234-9955 Fax: 440-234-5994
Ms. Katherine Anne Fulkerson, PCC-S IMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14843 W Sprague Rd Ste A, Strongsville, OH 44136 Phone: 440-234-9955 Fax: 440-234-5994
Mr. Kevin J Becnel, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14843 W Sprague Rd, Suite A, Strongsville, OH 44136 Phone: 440-234-9955 Fax: 440-234-5994

Elaine White Jackson, LPCC,IIMFT - Medicare Counselor in Strongsville, OH