CIERRA SHAMAR JACKSON M.A.
NPI 1316499551
Counselor - Mental Health in Minneapolis, MN

Q: What is Cierra Jackson's NPI number?

The NPI number for Cierra Jackson is 1316499551. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Q: What is Cierra Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cierra Jackson was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 03, 2016PECOS EnrolledAccepts Medicare Assignment

2220 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411(612) 543-2561 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Cierra Shamar Jackson M.a. NPPES

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

CIERRA SHAMAR JACKSON M.A. (NPI 1316499551) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (1366) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316499551

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCIERRA SHAMAR JACKSONCredential: M.A.

Location Address2220 PLYMOUTH AVE NMinneapolis, MN 55411-3600

Mailing Address2220 Plymouth Ave NMinneapolis, MN 55411-3600 · (612) 543-2561

Phone(612) 543-2561

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 3, 2016

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1316499551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · 1366

2220 PLYMOUTH AVE N, Minneapolis, MN 55411

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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

Cierra Shamar Jackson M.a. 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 ID8729584362

PECOS Enrollment IDI20251002000086

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

Hennepin County

Same address

Federally Qualified Health Center (FQHC)

2220 PLYMOUTH AVE N
Minneapolis, MN 55411

Reassigned Medicare billing, Minnesota enrollment
192 clinicians in this Medicare group

NPI 1215951751 (612) 543-2500

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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIRA YAGI DDS

Dentist (General Practice)