ELIZABETH JACKSON
NPI 1013932276
Psychologist in Louisville, KY

Active since July 12, 2006PECOS Enrolled
101 W MUHAMMAD ALI BLVD, HUMAN RESOURCES, LOUISVILLE, KY 40202(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH JACKSON (NPI 1013932276) is an individual psychologist in Louisville, Kentucky, licensed in Kentucky (129491) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013932276
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELIZABETH JACKSON
Location Address101 W MUHAMMAD ALI BLVD, HUMAN RESOURCESLouisville, KY 40202-1423
Mailing Address9702 Stonestreet Rd, Ste. 110Louisville, KY 40272-6808 · (502) 589-8600 · Fax (502) 589-8771
Fax(502) 589-8771
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJune 6, 2016
✔ NPI 1013932276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in KY · 129491
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
101 W MUHAMMAD ALI BLVD, Louisville, KY 40202

Other Identifiers 2

Medicare UPINP27978KY
Medicare ID-Type Unspecified0046753KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
10401 LINN STATION RD STE 100
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky enrollment
  • 309 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Counselor
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Counselor (Addiction (Substance Use Disorder))
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Counselor
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Counselor (Professional)
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Social Worker (Clinical)
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Psychologist
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Social Worker
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202

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 Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1013932276. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Elizabeth Jackson located?

Elizabeth Jackson practices at 101 W Muhammad Ali Blvd Human Resources, Louisville, KY 40202. The listed phone number is (502) 589-8600.

What is Elizabeth Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Elizabeth Jackson enrolled in Medicare?

Yes. Elizabeth Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jackson reassigns Medicare benefits to Seven Counties Services, Inc. (Louisville, KY). The 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 Elizabeth Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Jackson was last updated on June 6, 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.