DAWN ADJEI JACKSON
NPI 1427634674
Counselor - Mental Health in New York, NY

Active since March 18, 2021PECOS Enrolled
790 11TH AVENUE, STE 38A, NEW YORK, NY 10019(917) 701-7207 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2026, Sep 23, 2024, Mar 18, 2021 (3 updates tracked since 2021).

About Dawn Adjei Jackson NPPES

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

DAWN ADJEI JACKSON (NPI 1427634674) is an individual mental health provider in New York, New York, licensed in New York (014855) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427634674
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDAWN ADJEI JACKSON
Location Address790 11TH AVENUE, STE 38ANew York, NY 10019-1201
Mailing Address135 W 50th StNew York, NY 10020-1201
Sole ProprietorNo
Enumeration DateMarch 18, 2021
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1427634674 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 NY · 014855
790 11TH AVENUE, New York, NY 10019

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dawn Adjei Jackson 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 Reassignments

3

Medicare enrollment records show Dawn Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
Clinical
3635 BELL BLVD STE 203
Bayside, NY 11361
  • Reassigned Medicare billing, New York enrollment
  • 163 clinicians in this Medicare group
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group

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 Dawn Jackson's NPI number?

The NPI number for Dawn Jackson is 1427634674. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Dawn Jackson located?

Dawn Jackson practices at 790 11th Avenue Ste 38A, New York, NY 10019. The listed phone number is (917) 701-7207.

What is Dawn Jackson's specialty?

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

Is Dawn Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Dawn Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Jackson reassigns Medicare benefits to 3 organizations: Che Senior Psychological Services, PC (Brooklyn, NY), Comprehensive Counseling Lcsw, PLLC (Bayside, NY) and Knapp Street Psychiatry, PC (Brooklyn, NY). Each 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 Dawn Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Jackson accept?

Health plans from Oscar Health list Dawn 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 Dawn Jackson was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.