Heather Jackson, Ms, Lmhc, Llc - Medicare Mental Health Clinic in Santa Rosa Beach, FL

Heather Jackson, Ms, Lmhc, Llc is a medicare enrolled mental health clinic (Counselor) in Santa Rosa Beach, Florida. The current practice location for Heather Jackson, Ms, Lmhc, Llc is 256 Carson Oaks Ln, Santa Rosa Beach, Florida. For appointments, you can reach them via phone at (850) 974-1793. The mailing address for Heather Jackson, Ms, Lmhc, Llc is 256 Carson Oaks Ln, Santa Rosa Beach, Florida and phone number is () -.

Heather Jackson, Ms, Lmhc, Llc is licensed to practice in Florida (license number MH 14095). The clinic also participates in the medicare program and its NPI number is 1013364132. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (850) 974-1793.

Contact Information

Heather Jackson, Ms, Lmhc, Llc
256 Carson Oaks Ln
Santa Rosa Beach
FL 32459-7149
(850) 974-1793
Not Available

Mental Health Clinic Profile

Full NameHeather Jackson, Ms, Lmhc, Llc
SpecialityCounselor
Location256 Carson Oaks Ln, Santa Rosa Beach, Florida
Authorized Official Name and PositionHeather Jackson (PRESIDENT)
Authorized Official Contact8509741793
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heather Jackson, Ms, Lmhc, Llc
256 Carson Oaks Ln
Santa Rosa Beach
FL 32459-7149

Ph: () -
Heather Jackson, Ms, Lmhc, Llc
256 Carson Oaks Ln
Santa Rosa Beach
FL 32459-7149

Ph: (850) 974-1793

NPI Details:

NPI Number1013364132
Provider Enumeration Date05/18/2016
Last Update Date05/18/2016

Medicare PECOS Information:

Medicare PECOS PAC ID7911341086
Medicare Enrollment IDO20240216000591

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Medical Identifiers

Medical identifiers for Heather Jackson, Ms, Lmhc, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013364132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor MH 14095 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Heather Jackson, Ms, Lmhc, Llc acts as a billing entity for following providers:
Provider NameHeather Jackson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1053768176
PECOS PAC ID: 8820432990
Enrollment ID: I20240216000782

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