JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD
NPI 1063466274
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jackson, MI

Active since May 20, 2006
1200 N. WEST AVENUE, JACKSON, MI 49202(517) 789-1209(517) 796-4532 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2024, Jul 17, 2024, Nov 24, 2021 (3 updates tracked since 2021).

About Jackson-hillsdale Community Mental Health Board NPPES

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

JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD (NPI 1063466274), doing business as Lifeways, is a healthcare organization registered as a mental health (including community mental health center) in Jackson, Michigan and active in the NPI registry since May 2006. The organization lists Cassandra Watson, Chief Executive Officer (ceo), as its authorized official.

NPPES Registry Identity

NPI1063466274
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD
Location Address1200 N. WEST AVENUEJackson, MI 49202
Mailing Address1200 N West AveJackson, MI 49202-2179 · (517) 789-1209 · Fax (517) 796-4532
Fax(517) 796-4532
Organization SubpartNo
Authorized OfficialCassandra WatsonChief Executive Officer (ceo) · (517) 789-1208
Enumeration DateMay 20, 2006
Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1063466274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1200 N. WEST AVENUE, Jackson, MI 49202

Other Names 1

Doing Business AsLifeways

Other Identifiers 1

Medicaid1712229MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson-hillsdale Community Mental Health Board is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Jackson-Hillsdale Community Mental Health Board, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Mental Health Counselor17
Clinical Social Worker12
Psychiatry7
Nurse Practitioner5

Nearest to this location (20)

See all 41
Psychiatry
NPI 1619262680
1200 N WEST AVE
Jackson, MI 49202
(517) 789-1200
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1245758119
1200 N WEST AVE
Jackson, MI 49202
(517) 789-1200
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1275202673
1200 N WEST AVE
Jackson, MI 49202
(517) 789-1200
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1942271390
585 JEWETT RD
Mason, MI 48854
(517) 676-5405
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1972456093
776 WOLVERINE RD
Mason, MI 48854
(517) 974-9114
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1134689631
1717 N HIGH ST
Lansing, MI 48906
(517) 372-4700
✔ PECOS19 mi
Mental Health Counselor
NPI 1588011761
3235 E MICHIGAN AVE
Jackson, MI 49202
(517) 205-2161
✔ PECOS✔ Accepts Medicare20 mi
Psychiatry
NPI 1154474617
1200 N WEST AVE
Jackson, MI 49202
(517) 796-4540
✔ PECOS21 mi
Nurse Practitioner
NPI 1982251724
1200 N WEST AVE
Jackson, MI 49202
(800) 284-8288
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1982168639
1200 N WEST AVE
Jackson, MI 49202
(517) 780-3390
✔ PECOS21 mi
Clinical Social Worker
NPI 1548754898
1200 N WEST AVE
Jackson, MI 49202
(517) 789-1209
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1417371501
1200 N WEST AVE
Jackson, MI 49202
(517) 789-1200
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1184288433
1200 N WEST AVE STE 300
Jackson, MI 49202
(517) 789-1234
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1154909646
1200 N WEST AVE
Jackson, MI 49202
(517) 581-3251
✔ PECOS21 mi
Mental Health Counselor
NPI 1558737478
1200 N WEST AVE
Jackson, MI 49202
(517) 789-1200
✔ PECOS21 mi
Nurse Practitioner
NPI 1386903425
1200 N WEST AVE
Jackson, MI 49202
(517) 789-1200
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1104295773
1200 N WEST AVE
Jackson, MI 49202
(517) 789-1209
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1043690753
1200 N WEST AVE
Jackson, MI 49202
(517) 240-1592
✔ PECOS21 mi
Psychiatry
NPI 1265534804
2301 E MICHIGAN AVE
Jackson, MI 49202
(517) 784-6729
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1457926701
212 E. BIDDLE STREET
Jackson, MI 49203
(517) 783-3434
✔ PECOS✔ Accepts Medicare22 mi
See all 41 clinicians

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 Jackson-Hillsdale Community Mental Health Board's NPI number?

The NPI number for Jackson-Hillsdale Community Mental Health Board is 1063466274. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Lifeways.

Where is Jackson-Hillsdale Community Mental Health Board located?

Jackson-Hillsdale Community Mental Health Board is located at 1200 N. West Avenue, Jackson, MI 49202. The listed phone number is (517) 789-1209.

What is Jackson-Hillsdale Community Mental Health Board's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Jackson-Hillsdale Community Mental Health Board enrolled in Medicare?

Yes. Jackson-Hillsdale Community Mental Health Board is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson-Hillsdale Community Mental Health Board?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 4 Medicare specialties reassign their Medicare billing to Jackson-Hillsdale Community Mental Health Board. 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. The largest specialties are Mental Health Counselor (17), Clinical Social Worker (12) and Psychiatry (7). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jackson-Hillsdale Community Mental Health Board accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jackson-Hillsdale Community Mental Health Board 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 Jackson-Hillsdale Community Mental Health Board was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.