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BREANNA ASHLEY JACKSON
NPI 1255861530
Social Worker - Clinical in Plainville, CT

Active since June 19, 2017PECOS Enrolled
74 EAST ST, PLAINVILLE, CT 06062(860) 793-3500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 8, 2019, Jun 19, 2017 (3 updates tracked since 2017).

About Breanna Ashley Jackson NPPES

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

BREANNA ASHLEY JACKSON (NPI 1255861530) is an individual clinical provider in Plainville, Connecticut and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1255861530
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBREANNA ASHLEY JACKSON
Location Address74 EAST STPlainville, CT 06062-2367
Mailing Address417 Liberty StSpringfield, MA 01104-3736 · (413) 733-6661 · Fax (413) 733-7841
Phone(860) 793-3500
Sole ProprietorNo
Enumeration DateJune 19, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1255861530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
74 EAST ST, Plainville, CT 06062
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Secondary Practice Location 1

Location 1417 Liberty StSpringfield, MA 01104-3736 · Phone (413) 733-6661 · Fax (413) 733-7841

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Ashley 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 Breanna Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wheeler Clinic Inc
1.8 mi
Mental Health (Including Community Mental Health Center)
91 NORTHWEST DRIVE
Plainville, CT 06062
  • Reassigned Medicare billing, Connecticut enrollment
  • 217 clinicians in this Medicare group
NPI 1396750840 (888) 793-3500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JONATHAN CODRARO M.S
Counselor
74 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 466-9646
SHAVONNE JUNEENE SIMS
Social Worker
74 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (888) 793-3500
MELISSA BREA CONWAY MSW
Social Worker (Clinical)
74 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 793-4480
ASSOCIATES IN PSYCHOTHERAPY & PSYCHIATRY, LLC
Psychiatry & Neurology (Psychiatry)
74 EAST ST, SUITE 304
PLAINVILLE, CT 06062
Capitol Planning Region (860) 410-1877
STEPHANIE LOPES
Social Worker
74 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (203) 837-7597
CIYAUAH LASHAWN DANIELS
Counselor
74 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 793-4200
SYLVIA MROCZKO
Social Worker
74 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 793-3500
KRISTINE ALLISON HOLMES MSW
Social Worker (Clinical)
74 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 793-4476

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 Breanna Jackson's NPI number?

The NPI number for Breanna Jackson is 1255861530. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Breanna Jackson located?

Breanna Jackson practices at 74 East St, Plainville, CT 06062. The listed phone number is (860) 793-3500.

What is Breanna Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Breanna Jackson enrolled in Medicare?

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

Which organization bills Medicare for Breanna Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Jackson reassigns Medicare benefits to Wheeler Clinic Inc (Plainville, CT). 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 Breanna Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Breanna Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.