LEAH MARIE JACKSON
NPI 1265036016
Marriage & Family Therapist in Richfield, MN
About Leah Marie Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEAH MARIE JACKSON (NPI 1265036016) is an individual marriage & family therapist in Richfield, Minnesota and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leah Marie Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Leah Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 228 clinicians in this Medicare group
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.
MINNEAPOLIS, MN 55423
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 Leah Jackson's NPI number?
The NPI number for Leah Jackson is 1265036016. It was assigned to this individual provider in the NPPES registry on November 23, 2020.
Where is Leah Jackson located?
Leah Jackson practices at 2400 W 64th St, Richfield, MN 55423. The listed phone number is (612) 798-8356.
What is Leah Jackson's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Leah Jackson enrolled in Medicare?
Yes. Leah Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Leah Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leah Jackson reassigns Medicare benefits to Fraser Child And Family Center (Minneapolis, MN). 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 Leah 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 Leah Jackson was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Leah Marie Jackson · NPI 1265036016
Marriage & Family Therapist provider in Richfield, Minnesota. Individual provider, active in the CMS NPPES registry since November 23, 2020.
## Identity
- **NPI:** 1265036016 (Entity type: Individual)
- **Enumerated:** November 23, 2020
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2400 W 64TH ST, Richfield, MN 55423-1001
- **Phone:** (612) 798-8356 · **Fax:** (612) 798-5301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Fraser Child And Family Center (NPI 1609922194, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1265036016) · Data from the CMS NPPES public registry.