Laportia Jacqueline Jackson, LPC in Cabot, AR

Laportia Jacqueline Jackson, LPC is a medicare enrolled "Counselor - Professional" provider in Cabot, Arkansas. Her current practice location is 3358 S 2nd St Ste A-c, Cabot, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 286-6053.

Laportia Jacqueline Jackson is licensed to practice in Arkansas (license number P2311008) 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 1881352896.

Contact Information

	Laportia Jacqueline Jackson, LPC
	3358 S 2nd St Ste A-c, Cabot, AR 72023-7873
	(501) 286-6053
	(501) 286-6090

Map and Direction

Healthcare Provider's Profile

Full Name	Laportia Jacqueline Jackson
Gender	Female
Speciality	Counselor - Professional
Location	3358 S 2nd St Ste A-c, Cabot, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881352896
Provider Enumeration Date: 12/07/2021
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 9436509841
Enrollment ID: I20231228000040

Medical Identifiers

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

Identifier	Type	State	Issuer
1881352896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	AR2108022 (Arkansas)	Secondary
101YP2500X	Counselor - Professional	P2311008 (Arkansas)	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. Laportia Jacqueline Jackson allows following entities to bill medicare on her behalf.

Entity Name	Life Strategies Counseling, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932154945 PECOS PAC ID: 5890887475 Enrollment ID: O20131112001495

Entity Name	Empowering Mindz Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760252894 PECOS PAC ID: 0143664045 Enrollment ID: O20240220000369

Entity Name	Optum Behavioral Care Of North Carolina, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306613880 PECOS PAC ID: 5092120030 Enrollment ID: O20240321002678

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. Laportia Jacqueline 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
Laportia Jacqueline Jackson, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268	Laportia Jacqueline Jackson, LPC 3358 S 2nd St Ste A-c, Cabot, AR 72023-7873 Ph: (501) 286-6053

Reviews and Comments

Counselor in Cabot, AR

Sonya Long, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3358 S 2nd St Ste A-c, Cabot, AR 72023 Phone: 501-286-6053 Fax: 501-286-6090
Chelsea Macy, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 S Pine St Ste B, Cabot, AR 72023 Phone: 870-318-5866
Mary Katherine Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3358 S 2nd St Ste A-c, Cabot, AR 72023 Phone: 501-286-6053
Jennifer Poindexter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 N 2nd St, Cabot, AR 72023 Phone: 501-733-1408
Mrs. Tammi Renee Ivy, MRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3358 Suite D. S. 2nd Street, Cabot, AR 72023 Phone: 501-286-6053 Fax: 870-523-9301
Victoria Kaitlyn Reap, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3358 S 2nd St, Cabot, AR 72023 Phone: 501-286-6053 Fax: 501-286-6090
Mr. Ryan Michael Murphy, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203b Westport Dr, Cabot, AR 72023 Phone: 501-843-9233 Fax: 501-843-9656

Laportia Jacqueline Jackson, LPC - Medicare Counselor in Cabot, AR