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DR. KIM JACKSON PHD
NPI 1285177261
Counselor - Mental Health in Anchorage, AK

Active since November 23, 2016PECOS Enrolled
3330 ARTIC BLVD STE 101, ANCHORAGE, AK 99503(907) 600-3425 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 26, 2022, Nov 23, 2016 (2 updates tracked since 2016).

About Dr. Kim Jackson Phd NPPES

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

DR. KIM JACKSON PHD (NPI 1285177261) is an individual mental health provider in Anchorage, Alaska and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285177261
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. KIM JACKSONCredential: PHD
Location Address3330 ARTIC BLVD STE 101Anchorage, AK 99503-4580
Mailing Address2600 Cordova St Ste 101Anchorage, AK 99503-2745 · (907) 279-9640
Phone(907) 600-3425
Sole ProprietorNo
Enumeration DateNovember 23, 2016
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1285177261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedRehabilitation PractitionerTaxonomy 225400000X · License 1044974 (AK)
3330 ARTIC BLVD STE 101, Anchorage, AK 99503
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Secondary Practice Locations 2

Location 18012 Stewart Mountain DrEagle River, AK 99577-9013 · Phone (907) 694-3336
Location 22600 Cordova St Ste 101Anchorage, AK 99503-2745 · Phone (907) 279-9640

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Jackson Phd 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.

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 Kim Jackson's NPI number?

The NPI number for Kim Jackson is 1285177261. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Where is Kim Jackson located?

Kim Jackson practices at 3330 Artic Blvd Ste 101, Anchorage, AK 99503. The listed phone number is (907) 600-3425.

What is Kim Jackson's specialty?

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

Is Kim Jackson enrolled in Medicare?

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

What insurance does Kim Jackson accept?

Health plans from Providence Health Plan list Kim 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 Kim Jackson was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.