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AYSIA JACKSON
NPI 1023552973
Marriage & Family Therapist in Truckee, CA

Active since December 12, 2016PECOS EnrolledAccepts Medicare Assignment
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161(415) 424-4266(415) 520-6633 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2023, Aug 10, 2020, Feb 24, 2020 and 2 more (5 updates tracked since 2016).

About Aysia Jackson NPPES

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

AYSIA JACKSON (NPI 1023552973) is an individual marriage & family therapist in Truckee, California, licensed in Nevada (2941-R) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023552973
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAYSIA JACKSON
Location Address10775 PIONEER TRL STE 215Truckee, CA 96161-0234
Mailing Address375 Conestoga Way Unit 2822Henderson, NV 89002-1102 · (818) 454-0644
Phone(415) 424-4266
Fax(415) 520-6633
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 12, 2016
Last NPPES UpdateOctober 6, 20235 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1023552973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in NV · 2941-R✔ Licensed in NV · MI1264✔ Licensed in CA · LMFT120115✔ Licensed in CA · IMF96253
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
10775 PIONEER TRL STE 215, Truckee, CA 96161
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Other Names 1

Former Name (1)Aysia Capers

Secondary Practice Locations 4

Location 12810 W Charleston Blvd # H77Las Vegas, NV 89102-1921 · Phone (702) 823-3910
Location 244285 Lowtree AveLancaster, CA 93534-4170 · Phone (661) 341-3900
Location 36655 W Sahara Ave Ste A208Las Vegas, NV 89146-2812 · Phone (702) 900-2784
Location 41500 E Tropicana AveLas Vegas, NV 89119-6514 · Phone (702) 430-8725

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aysia Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193200210
PECOS Enrollment IDI20260326003161
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 Aysia Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC
594 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Nevada enrollment
  • 25 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

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.

LISA ANNE TAFT MSW, LMHC, LPC
Counselor (Mental Health)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
TAMMY LYNN HARPER MS, MAC, LMHC, SUDP
Counselor (Mental Health)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
KUAN HSUAN TU MSW, ACSW
Social Worker (Clinical)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
DR. LINDARA L HALLORAN MD
Pediatrics
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
ELISHA ANTUANE DENTON MA, APCC
Counselor (Professional)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
SARA SAMADI MA, LMFT
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
ANDREA SALENA PEREA MA, AMFT
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
AMY JENNIFER PHILLIPS LCSW
Social Worker (Clinical)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266

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 Aysia Jackson's NPI number?

The NPI number for Aysia Jackson is 1023552973. It was assigned to this individual provider in the NPPES registry on December 12, 2016. The provider is also known as Aysia Capers.

Where is Aysia Jackson located?

Aysia Jackson practices at 10775 Pioneer Trl Ste 215, Truckee, CA 96161. The listed phone number is (415) 424-4266.

What is Aysia Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Aysia Jackson enrolled in Medicare?

Yes. Aysia Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Aysia Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aysia Jackson reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Aysia Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aysia Jackson accept?

Health plans from UnitedHealthcare list Aysia 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 Aysia Jackson was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.