Tammy J. Jackson, LICENSED PSYCHOLOGIS
NPI 1235294018ActiveIndividual· Psychologist· Lees Summit, MO
Listed on the HHS-OIG exclusion list since April 2023 (1128b4). Psychologist (LICENSED PSYCHOLOGIS) in Lees Summit, Missouri, licensed in MO, with an NPI issued in December 2006.
Overview
| NPI | 1235294018 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICENSED PSYCHOLOGIS |
| Sole proprietor | No |
| NPI issued | Dec 22, 2006 |
| Last updated in NPPES | Oct 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 01757 | MO |
| Psychologist, Counseling | 103TC1900X | 01757 | MO |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 01757 | MO |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Tammy J. Jackson · Psychology | 1128b4 | Apr 20, 2023 | Lees Summit, MO |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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