RACHEL LYNN LEE JACKMAN LPC
NPI 1790357515
Counselor - Professional in Peachtree City, GA

NPI Status: Active since July 12, 2021

Contact Information

200 WESTPARK DR STE 120
PEACHTREE CITY, GA
ZIP 30269
Phone: (678) 679-9796

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 5
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RACHEL LEE JACKMAN

This page provides the complete NPI Profile along with additional information for Rachel Lee Jackman, a provider established in Peachtree City, Georgia with a medical specialization in Counselor, focusing in professional and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1790357515 assigned on July 2021. The practitioner's primary taxonomy code is 101YP2500X with license number LPC015121 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1790357515
Provider Name
RACHEL LYNN LEE JACKMAN LPC
Gender
Female
Entity Type
Individual
Location Address
200 WESTPARK DR STE 120 PEACHTREE CITY, GA 30269
Location Phone
(678) 679-9796
Mailing Address
160 WATERSHED WAY FAYETTEVILLE, GA 30215
Mailing Phone
(315) 439-9859
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
Yes
Enumeration Date
07-12-2021
Last Update Date
11-08-2024
Code Navigator

Location Map

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 Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC015121
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

APC008007 (GA)
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

APC008007 (GA)

Medicare Participation & PECOS Enrollment Status

Rachel Lee Jackman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Rachel Lee Jackman 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: 3577098573

    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: I20241127003728

    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? Yes

    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 RACHEL LYNN LEE JACKMAN LPC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1790357515
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180651452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 6 + 5 + 1 + 4 + 5 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1790357515 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740815406 BEVERLY BROWN
Individual
Counselor (Professional)200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(678) 383-1210
1598384919 NAOMI HAYNES
Individual
Social Worker (Clinical)200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(678) 383-1210
1972973774MRS. TERESSA MATHURIN LPC
Individual
Counselor (Professional)200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(678) 383-1210
1487272001 MARLEIGH WHITEMAN
Individual
Counselor (Professional)200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(678) 383-1210
1053077750 PRECIOUS PARHAM
Individual
Social Worker200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(855) 284-7483
1699415000 HAROLD JACKSON WILLIAMS JR.
Individual
Counselor (Professional)200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(855) 284-7483
1588066518 KAREN ADKINS COEFIELD LPC
Individual
Counselor (Professional)200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(617) 379-0496
1801403266 JABREEKA BROWN
Individual
Counselor (Professional)200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(617) 379-0496
1518716596 CAROL GRACE PAULSEN
Individual
Social Worker200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(855) 284-7483
1093198327 LEI-ANN BRIDGES
Individual
Counselor (Professional)200 WESTPARK DR STE 120
PEACHTREE CITY, GA 30269
(678) 679-9796

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790357515, enumerated in the NPI registry as an "individual" on July 12, 2021

The provider is located at 200 Westpark Dr Ste 120 Peachtree City, Ga 30269 and the phone number is (678) 679-9796

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 5 years of experience.

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 July 12, 2021. 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.