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Active NPI 1295946093 Individual Practitioner Female Practitioner

Melissa Reyes Jackson , MED

Counselor - School • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Melissa Jackson, MED is a registered healthcare professional specializing in Counselor - School in Phoenix, AZ. Practice services are available at 3839 W CAMELBACK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3839 W Camelback Rd

Phoenix, AZ 850192512

Telephone 6027646052

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - School in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
45 Specialists

Practicing in Phoenix, AZ (427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
897796 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1033060314
Laura Larson , MS CCCSLP

Speech-Language Pathologist

NPI 1043338973

MSCCCSLP

Joseph Silvey , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1215597166

Certified Athletic Trainer, Licensed Athletic Trainer

NPI 1235324351

GUIDANCECOUNSELOR

Gwyneth Tawagon

Registered Nurse

NPI 1427985084
Jeanette Davis , LCSW

Social Worker - Clinical

NPI 1548950165

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2007

Registered at 3839 W CAMELBACK RD, PHOENIX, AZ 850192512 (Tel: 6027646052)

📍
Updated Business Mailing Address July 26, 2007

Registered at 8816 W LAS PALMARITAS DR, PEORIA, AZ 853457808 (Tel: 6027646052)

👤
Provider Name / Credentials Updated July 26, 2007

Recorded as MELISSA JACKSON, M.ED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2007

Counselor

🟢
Initial NPI Registration & Enumeration May 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295946093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2007
Last Update: July 26, 2007
Sole Proprietor: Yes

Mailing Address

8816 W Las Palmaritas Dr

Peoria, AZ 853457808

Phone: 6027646052

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.