| Miranda Jean Jackson, | |
|
9949 S Oswego St Ste 300, Parker, CO 80134-3888 | |
| (303) 649-3100 | |
| (303) 649-3101 |
| Full Name | Miranda Jean Jackson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 9949 S Oswego St Ste 300, Parker, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750683447 | NPI | - | NPPES |
| 28034546 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0011343 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portercare Adventist Health System | 0941110886 | 765 |
| Entity Name | Peak Vista Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Jean Jackson, 9949 S Oswego St Ste 300, Parker, CO 80134-3888 Ph: (303) 649-3100 | Miranda Jean Jackson, 9949 S Oswego St Ste 300, Parker, CO 80134-3888 Ph: (303) 649-3100 |
Deborah Warner, MSC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10290 S Progress Way Ste 207, Parker, CO 80134 Phone: 720-295-6810 | |
Mrs. Janna Lynn Benkelman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19557 E Main St Ste 107, Parker, CO 80138 Phone: 303-805-7168 | |
Rebecca Dunning, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16965 Pine Ln Ste 103, Parker, CO 80134 Phone: 720-842-5553 | |
Danielle N Bartos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11562 Yellow Daisy Dr, Parker, CO 80134 Phone: 513-255-7493 | |
Scott Allan Quayle, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 9397 Crown Crest Blvd Ste 440, Parker, CO 80138 Phone: 970-310-3406 Fax: 888-965-4615 | |
Michael Capre, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17600 Rose Heath Ln, Parker, CO 80134 Phone: 303-981-5869 | |
Crystal Ann Galloway, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19590 E Mainstreet Ste 202, Parker, CO 80138 Phone: 303-736-9680 |