Illya Jackson, - Couples Therapy in Ft Worth, TX

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Illya Jackson, is a Marriage & Family Therapist based in Ft Worth, Texas. Illya Jackson is licensed to practice in California (license number IACCP0064) and his current practice location is 1518 Vaughn Blvd, Ft Worth, Texas. He can be reached at his office (for appointments etc.) via phone at (214) 515-2079.

NPI number for Illya Jackson is 1700269149 and his current mailing address is 1518 Vaughn Blvd, Ft Worth, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700269149.

Contact Information

Illya Jackson,
1518 Vaughn Blvd,
Ft Worth, TX 76105-2307
(214) 515-2079
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameIllya Jackson
GenderMale
SpecialityMarriage & Family Therapist
Location1518 Vaughn Blvd, Ft Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700269149
  • Provider Enumeration Date: 07/02/2015
  • Last Update Date: 07/02/2015

Medical Identifiers

Medical identifiers for Illya Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700269149NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist IACCP0064 (California)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. Illya Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Illya Jackson,
1518 Vaughn Blvd,
Ft Worth, TX 76105-2307

Ph: (214) 515-2079		Illya Jackson,
1518 Vaughn Blvd,
Ft Worth, TX 76105-2307

Ph: (214) 515-2079

Reviews and Comments


Marriage & Family Therapist in Ft Worth, TX

Sharla Carpenter,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 3840 Hulen St, Ft Worth, TX 76107
Phone: 817-569-4523    
Jacqueline Ann Manley, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 9800 Hillwood Pkwy Ste 140, Ft Worth, TX 76177
Phone: 619-818-6516    

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.