Mr Jaissen M Jackson, LMHC in Providence, RI - Medicare Mental Health Counselor Provider

Mr Jaissen M Jackson, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Providence, Rhode Island. He graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is 194 Webster Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 261-0321.

Mr Jaissen M Jackson is licensed to practice in Rhode Island (license number MHC01094) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1275074171.

Contact Information

	Mr Jaissen M Jackson, LMHC
	194 Webster Ave, Providence, RI 02909-3818
	(401) 261-0321
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jaissen M Jackson
Gender	Male
Speciality	Mental Health Counselor
Experience	10 Years
Location	194 Webster Ave, Providence, Rhode Island
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jaissen M Jackson graduated from medical school in 2016

NPI Data:

NPI Number: 1275074171
Provider Enumeration Date: 03/13/2017
Last Update Date: 10/10/2025

Medicare PECOS Information:

PECOS PAC ID: 8022536739
Enrollment ID: I20250516001269

Medical Identifiers

Medical identifiers for Mr Jaissen M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275074171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MHC01094 (Rhode Island)	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. Mr Jaissen M Jackson allows following entities to bill medicare on his behalf.

Entity Name	Child And Family Psychiatry, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126

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. Mr Jaissen M 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
Mr Jaissen M Jackson, LMHC 530 N Main St, Providence, RI 02904-5762 Ph: (401) 276-4100	Mr Jaissen M Jackson, LMHC 194 Webster Ave, Providence, RI 02909-3818 Ph: (401) 261-0321

Reviews and Comments

Counselor in Providence, RI

Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110

Mr Jaissen M Jackson, LMHC - Medicare Counselor in Providence, RI