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KRISTINA JACKSON LPCC
NPI 1235616863
Counselor - Professional in Saint Paul, MN

Active since July 26, 2018PECOS EnrolledAccepts Medicare Assignment
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114(763) 789-4895(763) 789-4798 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristina Jackson Lpcc NPPES

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

KRISTINA JACKSON LPCC (NPI 1235616863) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (CC01611) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1235616863
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTINA JACKSONCredential: LPCC
Location Address762 TRANSFER RD STE 21Saint Paul, MN 55114-1489
Mailing Address3606 55th Ave NBrooklyn Center, MN 55429-3310 · (612) 599-5471
Phone(763) 789-4895
Fax(763) 789-4798
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 26, 2018
Last NPPES UpdateMarch 27, 2019
✔ NPI 1235616863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC01611
762 TRANSFER RD STE 21, Saint Paul, MN 55114
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Kristina Jackson Lpcc 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 ID1658865571
PECOS Enrollment IDI20251209001884
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 Reassignments

2

Medicare enrollment records show Kristina Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Resources, Inc.
Same address
Community/Behavioral Health
762 TRANSFER RD, SUITE 21
Saint Paul, MN 55114
  • Reassigned Medicare billing, Minnesota enrollment
  • 13 clinicians in this Medicare group
NPI 1790909703 (651) 659-2900
Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother
1.7 mi
Mental Health (Including Community Mental Health Center)
2701 UNIVERSITY AVE SE STE 204
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 16 clinicians in this Medicare group
NPI 1528726775 (763) 205-4843

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.

YVETTE ANDERSON
Counselor (Professional)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (218) 355-8978
MEGAN JACOBS LICSW
Social Worker (Clinical)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2900
TARA AILEEN INVEEN LICSW
Social Worker (Clinical)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2900
MR. GARY O STEELE M.A. L.M.F.T
Counselor (Professional)
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2936
EILEEN G ANDERSON LLC
Community/Behavioral Health
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2900
MENTAL HEALTH RESOURCES, INC.
Community/Behavioral Health
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2955
MR. EVAN JOSEPH FLACK MA, LADC
Counselor (Addiction (Substance Use Disorder))
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (651) 659-2900
BRENDA CECILIA GUZMAN GALICIA LADC
Counselor (Addiction (Substance Use Disorder))
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114
Ramsey County (952) 446-7814

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 Kristina Jackson's NPI number?

The NPI number for Kristina Jackson is 1235616863. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Kristina Jackson located?

Kristina Jackson practices at 762 Transfer Rd Ste 21, Saint Paul, MN 55114. The listed phone number is (763) 789-4895.

What is Kristina Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristina Jackson enrolled in Medicare?

Yes. Kristina 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 organizations bill Medicare for Kristina Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Jackson reassigns Medicare benefits to 2 organizations: Mental Health Resources, Inc. (Saint Paul, MN) and Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother (Minneapolis, MN). Each 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 Kristina Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Jackson accept?

Health plans from HealthPartners list Kristina 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 Kristina Jackson was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.