Jacob Jerry Jackson, PHD, LMHC, CADC
NPI 1003366329ActiveIndividual· Counselor, Mental Health· Le Mars, IA
Counselor, Mental Health (PHD, LMHC, CADC) with Plains Area Mental Health Inc, practicing in Le Mars, Iowa. Medicare paid $6,503 for services to 22 patients in 2024.
Overview
| NPI | 1003366329 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LMHC, CADC |
| Sole proprietor | Yes |
| NPI issued | Oct 11, 2016 |
| Last updated in NPPES | Nov 6, 2023 |
| Certified by provider | Nov 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 15081 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 97 across 5 procedure codes |
| Paid by Medicare | $6,503 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Plains Area Mental Health IncLe Mars, IA · 21 clinicians
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All 20 mental health counselors in Le Mars · All mental health counselors in Iowa