Heather Louise Jackson, LPC in Alpharetta, GA

Heather Louise Jackson, LPC is a medicare enrolled "Counselor - Mental Health" provider in Alpharetta, Georgia. Her current practice location is 4080 Mcginnis Ferry Rd Ste 1304, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 740-3990.

Heather Louise Jackson is licensed to practice in Georgia (license number LPC014188) 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 1104596253.

Contact Information

	Heather Louise Jackson, LPC
	4080 Mcginnis Ferry Rd Ste 1304, Alpharetta, GA 30005-3951
	(678) 740-3990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Heather Louise Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	4080 Mcginnis Ferry Rd Ste 1304, Alpharetta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104596253
Provider Enumeration Date: 09/19/2021
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 3870025158
Enrollment ID: I20241010003563

Medical Identifiers

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

Identifier	Type	State	Issuer
1104596253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC014188 (Georgia)	Primary
101YM0800X	Counselor - Mental Health	APC007675 (Georgia)	Secondary

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. Heather Louise Jackson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Heather Louise 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
Heather Louise Jackson, LPC 5309 Westmoreland Rd, Cleveland, GA 30528-5252 Ph: (706) 809-4050	Heather Louise Jackson, LPC 4080 Mcginnis Ferry Rd Ste 1304, Alpharetta, GA 30005-3951 Ph: (678) 740-3990

Reviews and Comments

Counselor in Alpharetta, GA

Stephanie Leoni, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4575 Webb Bridge Road, #4301, Alpharetta, GA 30023 Phone: 678-313-6721 Fax: 678-281-7767
Candace Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Maxwell Rd, Ste 300, Alpharetta, GA 30009 Phone: 770-284-9252
Mekhriniso Gulyamova, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11535 Park Woods Cir Ste A2, Alpharetta, GA 30005 Phone: 470-210-4684
Mrs. Lori L Bryant, LMFT, RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 6775 Preston Glen Dr, Alpharetta, GA 30005 Phone: 678-371-2849
Soyoung Yun, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11675 Century Dr, Alpharetta, GA 30009 Phone: 678-740-3990
Rabia Osman Khan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1065 Winthrope Park Dr, Alpharetta, GA 30009 Phone: 678-777-5479
Luciana Sacramento Aguiar, MS, LPC, NCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11535 Park Woods Cir Ste A2, Alpharetta, GA 30005 Phone: 404-583-9850

Heather Louise Jackson, LPC - Medicare Counselor in Alpharetta, GA