CASSIE THACKER JACKSON MASTER OF EDUCATION
NPI 1376261602
Counselor - Professional in Fairbanks, AK

Active since August 22, 2022PECOS Enrolled
4987 MURPHY DOME RD, FAIRBANKS, AK 99709(907) 888-2082 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, Aug 22, 2022 (2 updates tracked since 2022).

About Cassie Thacker Jackson Master Of Education NPPES

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

CASSIE THACKER JACKSON MASTER OF EDUCATION (NPI 1376261602) is an individual professional provider in Fairbanks, Alaska and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376261602
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASSIE THACKER JACKSONCredential: MASTER OF EDUCATION
Location Address4987 MURPHY DOME RDFairbanks, AK 99709-5974
Mailing Address4987 Murphy Dome RdFairbanks, AK 99709-5974 · (907) 888-2082
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2022
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1376261602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4987 MURPHY DOME RD, Fairbanks, AK 99709

Accepted 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)

Cassie Thacker Jackson Master Of Education is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618401118
PECOS Enrollment IDI20241106001837
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.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
4987 MURPHY DOME RD
FAIRBANKS, AK 99709

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 Cassie Jackson's NPI number?

The NPI number for Cassie Jackson is 1376261602. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Cassie Jackson located?

Cassie Jackson practices at 4987 Murphy Dome Rd, Fairbanks, AK 99709. The listed phone number is (907) 888-2082.

What is Cassie Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cassie Jackson enrolled in Medicare?

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

What insurance does Cassie Jackson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Cassie 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 Cassie Jackson was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.