Jordan Jackson, LPC is a medicare enrolled "Counselor" provider in Grand Bay, Alabama. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
5153 Wear Rd Apt 1, Grand Bay, Alabama. You can reach out to her office (for appointments etc.) via phone at
(601) 434-0616.
Jordan Jackson is licensed to practice in Mississippi (license number 3309) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1154211704.
Healthcare Provider's Profile
| Full Name | Jordan Jackson |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 4 Years |
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| Location | 5153 Wear Rd Apt 1, Grand Bay, Alabama |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jordan Jackson graduated from medical school in 2022
NPI Data:
- NPI Number: 1154211704
- Provider Enumeration Date: 07/07/2025
- Last Update Date: 07/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436646858
- Enrollment ID: I20251017001017
Medical Identifiers
Medical identifiers for Jordan Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154211704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | 3309 (Mississippi) | Primary |
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. Jordan 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 |
Jordan Jackson, LPC 5153 Wear Rd, Grand Bay, AL 36541-3223 Ph: (601) 434-0616 | Jordan Jackson, LPC 5153 Wear Rd Apt 1, Grand Bay, AL 36541-3223 Ph: (601) 434-0616 |
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