Alfaye Jackson , PLPC
Counselor - Professional β’ Rolla, MO
104 Fox Creek Rd
Rolla, MO 654013620
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
104 Fox Creek Rd
Rolla, MO 654013620
What Public CMS Data Show
Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Alfaye Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Alfaye Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Rolla and Missouri
59 active clinicians are listed under Counselor - Professional with a practice address in Rolla, MO (5,803 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Rolla
5.1% of these 59 clinicians have the CMS telehealth indicator.
20.3% of these 59 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-11-21NUCC Taxonomy Code: 101YP2500X
NUCC Taxonomy Code: 101YP2500X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - MENTAL HEALTH COUNSELOR
I20251029001591
MO
6305335464
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 104 FOX CREEK RD, ROLLA, MO 654013620 (Tel: 4176932770)
Registered at 104 FOX CREEK RD, ROLLA, MO 654013620
Counselor (license number reported to NPPES: MO 2008015070)
Registered at 3100 S NATIONAL AVE STE 103, SPRINGFIELD, MO 658077347 (Tel: 4173226622)
Registered at 3600 S NATIONAL AVE, SPRINGFIELD, MO 658077311 (Tel: 4173226622)
Registered at 1949 E CHERRY ST, SPRINGFIELD, MO 65802 (Tel: 4177610300)
Registered at 3101C S KIMBROUGH AVE, SPRINGFIELD, MO 658075011 (Tel: 4178667773)
Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804 (Tel: 4177615000)
Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)
Counselor (license number reported to NPPES: MO 2015044726)
NPI status registered as active in NPPES database
Registered at 104 FOX CREEK RD, ROLLA, MO 654013620 (Tel: 5733084809)
Registered at 104 FOX CREEK RD, ROLLA, MO 654013620 (Tel: 5733084809)
Recorded as ALFAYE JACKSON, PLPC
Counselor (license number reported to NPPES: MO 2008015070)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
104 Fox Creek Rd
Rolla, MO 654013620