ANGELA TURRENTINE JACKSON LPC, NCC
NPI 1124786561
Counselor - Mental Health in Nashville, TN

Active since December 02, 2021PECOS EnrolledAccepts Medicare Assignment
100 CENTERVIEW DR, STE 225, NASHVILLE, TN 37214(615) 461-5994 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Dec 2, 2021 (2 updates tracked since 2021).

About Angela Turrentine Jackson Lpc, Ncc NPPES

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

ANGELA TURRENTINE JACKSON LPC, NCC (NPI 1124786561) is an individual mental health provider in Nashville, Tennessee, licensed in Tennessee (5628) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gallatin, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124786561
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA TURRENTINE JACKSONCredential: LPC, NCC
Location Address100 CENTERVIEW DR, STE 225Nashville, TN 37214
Mailing Address695 Nashville Pike # 175Gallatin, TN 37066-5417 · (615) 438-0148
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 2, 2021
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1124786561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TN · 5628
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 5628 (TN)
100 CENTERVIEW DR, Nashville, TN 37214

Secondary Practice Location 1

Location 11078 S Water AveGallatin, TN 37066-3959 · Phone (866) 816-0433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angela Turrentine Jackson Lpc, Ncc 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 ID6305322108
PECOS Enrollment IDI20260112002098
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.

Other Providers at the Same Location NPPES

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

Medicare Defined Swing Bed Unit
100 CENTERVIEW DR, SUITE 220
NASHVILLE, TN 37214

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 Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1124786561. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Angela Jackson located?

Angela Jackson practices at 100 Centerview Dr Ste 225, Nashville, TN 37214. The listed phone number is (615) 461-5994.

What is Angela Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Angela Jackson enrolled in Medicare?

Yes. Angela 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.

When was this NPI record last updated?

The NPPES record for Angela Jackson was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.