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ADRIAKA Y JACKSON MS
NPI 1295378941
Counselor - Mental Health in Indianapolis, IN

Active since October 25, 2019PECOS Enrolled
5123 MILHOUSE RD, INDIANAPOLIS, IN 46221(317) 835-3435 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2026, Oct 25, 2019 (2 updates tracked since 2019).

About Adriaka Y Jackson Ms NPPES

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

ADRIAKA Y JACKSON MS (NPI 1295378941) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (39004508A) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295378941
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameADRIAKA Y JACKSONCredential: MS
Location Address5123 MILHOUSE RDIndianapolis, IN 46221-4213
Mailing Address5123 Milhouse RdIndianapolis, IN 46221-4213 · (317) 835-3435
Phone(317) 835-3435
Sole ProprietorYes
Enumeration DateOctober 25, 2019
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1295378941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IN · 39004508A✔ Licensed in FL · TPMC5365
5123 MILHOUSE RD, Indianapolis, IN 46221
Open in Google Maps ↗

Other Names 1

Former Name (1)Adriaka Y Duffy Lmhc

Other Identifiers 1

Other8973191013IN · 8973191013

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adriaka Y Jackson Ms 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 Adriaka Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
475 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Indiana enrollment
  • 77 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

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 Adriaka Jackson's NPI number?

The NPI number for Adriaka Jackson is 1295378941. It was assigned to this individual provider in the NPPES registry on October 25, 2019. The provider is also known as Adriaka Y Duffy Lmhc.

Where is Adriaka Jackson located?

Adriaka Jackson practices at 5123 Milhouse Rd, Indianapolis, IN 46221. The listed phone number is (317) 835-3435.

What is Adriaka Jackson's specialty?

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

Is Adriaka Jackson enrolled in Medicare?

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

Which organization bills Medicare for Adriaka Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adriaka Jackson reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Adriaka Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adriaka Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Adriaka 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 Adriaka Jackson was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.