Justin Jackson, LPC in Glen Allen, VA - Medicare Counselor Provider

Justin Jackson, LPC is a medicare enrolled "Counselor - Professional" provider in Glen Allen, Virginia. His current practice location is 4212 Park Place Ct, Glen Allen, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 332-5950.

Justin Jackson is licensed to practice in Virginia (license number 0701008565) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235788902.

Contact Information

	Justin Jackson, LPC
	4212 Park Place Ct, Glen Allen, VA 23060-3314
	(804) 332-5950
	(804) 728-1086

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Jackson
Gender	Male
Speciality	Counselor - Professional
Location	4212 Park Place Ct, Glen Allen, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235788902
Provider Enumeration Date: 09/05/2019
Last Update Date: 08/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7113362757
Enrollment ID: I20240305001845

Medical Identifiers

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

Identifier	Type	State	Issuer
1235788902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	0701008565 (Virginia)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	0701008565 (Virginia)	Secondary
101YM0800X	Counselor - Mental Health	0701008565 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701008565 (Virginia)	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. Justin Jackson allows following entities to bill medicare on his behalf.

Entity Name	Virginia Center For Addiction Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477091247 PECOS PAC ID: 4789960055 Enrollment ID: O20170421001009

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. Justin 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
Justin Jackson, LPC 4212 Park Place Ct, Glen Allen, VA 23060-3314 Ph: (804) 332-5950	Justin Jackson, LPC 4212 Park Place Ct, Glen Allen, VA 23060-3314 Ph: (804) 332-5950

Reviews and Comments

Counselor in Glen Allen, VA

Rachel Boykin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4337 Cox Rd, Glen Allen, VA 23060 Phone: 804-381-9754
Katherine Louise Haskins, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 4212 Park Place Ct, Glen Allen, VA 23060 Phone: 804-315-3135
Mrs. Bethany Grace Duffour, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11357 Nuckols Rd # 1339, Glen Allen, VA 23059 Phone: 804-223-2150
Michelle E Kyles, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10015 W Broad St, Glen Allen, VA 23060 Phone: 804-250-6028
Donald Clayton Parks, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5352 Twin Hickory Rd, Glen Allen, VA 23059 Phone: 804-592-2793 Fax: 804-592-2794
Mr. Mike Walsh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-836-4499 Fax: 804-727-8480
Briana Sinden, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 4112 Innslake Dr Ste B, Glen Allen, VA 23060 Phone: 703-534-5100

Justin Jackson, LPC - Medicare Counselor in Glen Allen, VA