Staci Lyn Jackson, LMFT is a
Marriage & Family Therapist based in Leicester, Massachusetts. Staci Lyn Jackson is licensed to practice in Massachusetts (license number 1836) and her current practice location is
1136 Main St, Leicester, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(607) 207-6681.
NPI number for Staci Lyn Jackson is 1174246060 and her current mailing address is 436 Southbridge St., Suite 2, #1006, Auburn, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174246060.
Healthcare Provider's Profile
Full Name | Staci Lyn Jackson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1136 Main St, Leicester, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174246060
- Provider Enumeration Date: 09/26/2022
- Last Update Date: 08/12/2025
Medical Identifiers
Medical identifiers for Staci Lyn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174246060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 1836 (Massachusetts) | 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. Staci Lyn 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 Address | Practice Location Address |
Staci Lyn Jackson, LMFT 436 Southbridge St., Suite 2, #1006, Auburn, MA 01501 Ph: (607) 207-6681 | Staci Lyn Jackson, LMFT 1136 Main St, Leicester, MA 01524-1349 Ph: (607) 207-6681 |
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