Staci Lyn Jackson, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Leicester, Massachusetts. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Marriage And Family Therapist. Her current practice location is
1136 Main St, Leicester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(607) 207-6681.
Staci Lyn Jackson is licensed to practice in Massachusetts (license number 1836) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 And Family Therapist |
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| Experience | 11 Years |
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| Location | 1136 Main St, Leicester, Massachusetts |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Staci Lyn Jackson graduated from medical school in 2015
NPI Data:
- NPI Number: 1174246060
- Provider Enumeration Date: 09/26/2022
- Last Update Date: 08/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305336074
- Enrollment ID: I20251114000535
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
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 |
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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