HEATHER JACKSON, MS, LMHC, LLC
NPI 1013364132
Counselor in Santa Rosa Beach, FL
About Heather Jackson, Ms, Lmhc, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER JACKSON, MS, LMHC, LLC (NPI 1013364132) is a healthcare organization registered as a counselor in Santa Rosa Beach, Florida and active in the NPI registry since May 2016. The organization lists Heather Jackson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heather Jackson, Ms, Lmhc, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Heather Jackson, Ms, Lmhc, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heather Jackson, Ms, Lmhc, LLC's NPI number?
The NPI number for Heather Jackson, Ms, Lmhc, LLC is 1013364132. It was assigned to this organization in the NPPES registry on May 18, 2016.
Where is Heather Jackson, Ms, Lmhc, LLC located?
Heather Jackson, Ms, Lmhc, LLC is located at 256 Carson Oaks Ln, Santa Rosa Beach, FL 32459. The listed phone number is (850) 974-1793.
What is Heather Jackson, Ms, Lmhc, LLC's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Heather Jackson, Ms, Lmhc, LLC enrolled in Medicare?
Yes. Heather Jackson, Ms, Lmhc, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heather Jackson, Ms, Lmhc, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Heather Jackson, Ms, Lmhc, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Heather Jackson, Ms, Lmhc, LLC was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heather Jackson, Ms, Lmhc, Llc · NPI 1013364132
Counselor organization in Santa Rosa Beach, Florida. Organization record, active in the CMS NPPES registry since May 18, 2016.
## Identity
- **NPI:** 1013364132 (Entity type: Organization)
- **Enumerated:** May 18, 2016
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Organization subpart:** No
- **Authorized official:** Heather Jackson, PRESIDENT
## Practice location
- **Address:** 256 CARSON OAKS LN, Santa Rosa Beach, FL 32459-7149
- **Phone:** (850) 974-1793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1013364132) · Data from the CMS NPPES public registry.