Mrs Jennifer Jo-jividen Jackson, LIMHP, LMHP, LPC in South Sioux City, NE

Mrs Jennifer Jo-jividen Jackson, LIMHP, LMHP, LPC is a medicare enrolled "Counselor - Mental Health" provider in South Sioux City, Nebraska. Her current practice location is 1201 Arbor Drive, South Sioux City, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 494-3337.

Mrs Jennifer Jo-jividen Jackson is licensed to practice in Nebraska (license number 919) 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 1194055087.

Contact Information

	Mrs Jennifer Jo-jividen Jackson, LIMHP, LMHP, LPC
	1201 Arbor Drive, South Sioux City, NE 68776-6877
	(402) 494-3337
	(402) 494-3356

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Jo-jividen Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	1201 Arbor Drive, South Sioux City, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194055087
Provider Enumeration Date: 12/28/2009
Last Update Date: 03/16/2023

Medicare PECOS Information:

PECOS PAC ID: 5193948545
Enrollment ID: I20231127002372

Medical Identifiers

Medical identifiers for Mrs Jennifer Jo-jividen Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194055087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	8988 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	3842 (Nebraska)	Secondary
101YP2500X	Counselor - Professional	1904 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	919 (Nebraska)	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. Mrs Jennifer Jo-jividen Jackson allows following entities to bill medicare on her behalf.

Entity Name	Heartland Counseling Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033292784 PECOS PAC ID: 0749262509 Enrollment ID: O20040604000284

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. Mrs Jennifer Jo-jividen 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
Mrs Jennifer Jo-jividen Jackson, LIMHP, LMHP, LPC Po Box 355, South Sioux City, NE 68776-0355 Ph: (402) 494-3337	Mrs Jennifer Jo-jividen Jackson, LIMHP, LMHP, LPC 1201 Arbor Drive, South Sioux City, NE 68776-6877 Ph: (402) 494-3337

Reviews and Comments

Counselor in South Sioux City, NE

Robyn L Watchorn Newbrey, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050
Lisa Bye, Counselor Medicare: Medicare Enrolled Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776 Phone: 402-494-3337 Fax: 402-494-3356
Carol J Maker, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050
Bradley A Rowe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 917 W 21st St, South Sioux City, NE 68776 Phone: 402-494-3337
Kelley J Polk, LIMHP,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 E 39th St, South Sioux City, NE 68776 Phone: 402-494-0040 Fax: 402-494-0050
Mr. Gerald Lou Mayo Iii, MSW, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 917 W 21st St, South Sioux City, NE 68776 Phone: 402-494-3337 Fax: 402-494-3356
Marit Westrich, Counselor Medicare: Medicare Enrolled Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776 Phone: 402-494-3337

Mrs Jennifer Jo-jividen Jackson, LIMHP, LMHP, LPC - Medicare Counselor in South Sioux City, NE