MS. DOREEN J. JACKSON LMHC
NPI 1235229063
Counselor - Mental Health in Brockton, MA

NPI Status: Active since October 13, 2006

Contact Information

40 ALMON AVE
BROCKTON, MA
ZIP 02301
Phone: (508) 580-8794
Fax: (508) 580-1668

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  • Individual
  • Female
  • Years of Experience 44
  • Counselor
  • Mental Health
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About DOREEN JACKSON

This page provides the complete NPI Profile along with additional information for Doreen Jackson, a provider established in Brockton, Massachusetts with a medical specialization in Counselor, focusing in mental health and more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1235229063 assigned on October 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 3183 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1235229063
Provider Name
MS. DOREEN J. JACKSON LMHC
Gender
Female
Entity Type
Individual
Location Address
40 ALMON AVE BROCKTON, MA 02301
Location Phone
(508) 580-8794
Location Fax
(508) 580-1668
Mailing Address
40 ALMON AVE BROCKTON, MA 02301
Mailing Phone
(508) 580-8794
Mailing Fax
(508) 580-1668
Medical School Name
OTHER
Graduation Year
1982
Is Sole Proprietor?
Yes
Enumeration Date
10-13-2006
Last Update Date
07-08-2007
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A mental health counselor like Doreen Jackson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
3183
License State
MA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • NH Local Choice HMO Bronze 8000 - HMO
  • NH Local Choice HMO Gold - HMO
  • NH Local Choice HMO Gold 1400 - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 - HMO
  • NH Local Choice HMO Silver 5000 - HMO
  • NH Local HMO Bronze 7500 Standard - HMO
  • NH Local HMO Gold 1500 Standard - HMO
  • NH Local HMO Silver 5000 Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
21189788924 01OTHER (01)MABEECH ST.
1029820OTHER (01)MANEIGHBORHOOD HEALTH PLAN
LM0383OTHER (01)MABLUE CROSS BLUE SHIELD MA
1898035MEDICAID (05)MA 
343393OTHER (01)MAMAGELLAN
1898035OTHER (01)MAMASS BEHAVIORAL HEALTH PL
411270OTHER (01)MAHARVARD PILGRIM
1898035OTHER (01)MAMBHP
87149OTHER (01)MAUNITED BEHAVIORAL HEALTH
87149OTHER (01)MAUNITED HEALTHCARE

Medicare Participation & PECOS Enrollment Status

Doreen Jackson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Doreen Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9537501796

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240521000339

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. DOREEN J. JACKSON LMHC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235229063
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22654218012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 2 + 1 + 8 + 0 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1235229063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235229063, enumerated in the NPI registry as an "individual" on October 13, 2006

The provider is located at 40 Almon Ave Brockton, Ma 02301 and the phone number is (508) 580-8794

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 44 years of experience.

The provider might be accepting Accepts: Harvard Pilgrim Health Care, Medicare, Medicaid,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on October 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.