Christian Nicole Record-jackson, PSY 0810008030 - Medicare Couples Therapy in Jbsa Lackland, TX

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Christian Nicole Record-jackson, PSY 0810008030 is a medicare enrolled "Psychologist - Clinical" provider in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-6255.

Christian Nicole Record-jackson is licensed to practice in Virginia (license number 0810008030) 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 1407344518.

Contact Information

Christian Nicole Record-jackson, PSY 0810008030
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638
(210) 292-6255
(210) 292-7934

Map and Direction


Healthcare Provider's Profile

Full NameChristian Nicole Record-jackson
GenderFemale
SpecialityPsychologist - Clinical
Location1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407344518
  • Provider Enumeration Date: 04/24/2018
  • Last Update Date: 05/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5193261204
  • Enrollment ID: I20240725001587

Medical Identifiers

Medical identifiers for Christian Nicole Record-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407344518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 105956 (California)Secondary
103TC0700XPsychologist - Clinical 0810008030 (Virginia)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. Christian Nicole Record-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 AddressPractice Location Address
Christian Nicole Record-jackson, PSY 0810008030
3905 26th St,
Chesapeake Beach, MD 20732-9383

Ph: (831) 239-8364		Christian Nicole Record-jackson, PSY 0810008030
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-6255

Reviews and Comments


Psychologist in Jbsa Lackland, TX


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.