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CHRISTIAN JACKSON LMSW
NPI 1366142168
Social Worker in Mexico, MO

Active since March 09, 2023PECOS Enrolled
340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234(573) 582-1212 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Christian Jackson Lmsw NPPES

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

CHRISTIAN JACKSON LMSW (NPI 1366142168) is an individual social worker in Mexico, Missouri, licensed in Missouri (2024027413) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366142168
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameCHRISTIAN JACKSONCredential: LMSW
Location Address340 KELLEY PKWYMexico, MO 65265-3811
Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212
Phone(573) 582-1234
Fax(573) 582-1212
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 9, 2023
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1366142168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MO · 2024027413
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
340 KELLEY PKWY, Mexico, MO 65265
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Jackson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971068693
PECOS Enrollment IDI20260722003600
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 Christian Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Central Missouri Behavioral Health Services, Inc
4.7 mi
Mental Health (Including Community Mental Health Center)
340 KELLEY PARKWAY
Mexico, MO 65265
  • Reassigned Medicare billing, Missouri enrollment
  • 49 clinicians in this Medicare group
NPI 1144293549 (573) 582-1234

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.

KRISTEN ANN FISHBACK LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
MCKENZI KEA ROSS FNP
Nurse Practitioner (Family)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
PATRICIA ANN ERWIN LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
DR. DWIGHT E. MCLEOD D.D.S. M.S.
Dentist (Periodontics)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
Psychologist (Rehabilitation)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
CYNTHIA MAE MACKEY LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
CATHERINE TERESA BROWNING APN
Nurse Practitioner (Psychiatric/Mental Health)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
AI-CHIEH LIN PHARMD
Pharmacist
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 567-5173

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 Christian Jackson's NPI number?

The NPI number for Christian Jackson is 1366142168. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Christian Jackson located?

Christian Jackson practices at 340 Kelley Pkwy, Mexico, MO 65265. The listed phone number is (573) 582-1234.

What is Christian Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Christian Jackson enrolled in Medicare?

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

Which organization bills Medicare for Christian Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christian Jackson reassigns Medicare benefits to East Central Missouri Behavioral Health Services, Inc (Mexico, MO). 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 Christian Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christian Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield list Christian 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 Christian Jackson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.