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ELYSHUA RENEE JACKSON LISW
NPI 1477306454
Social Worker - Clinical in Columbus, OH

Active since April 09, 2024PECOS Enrolled
1550 OLD HENDERSON RD STE N-271, COLUMBUS, OH 43220(614) 456-7334 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2025, Apr 9, 2024 (2 updates tracked since 2024).

About Elyshua Renee Jackson Lisw NPPES

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

ELYSHUA RENEE JACKSON LISW (NPI 1477306454) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (I.2405083) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477306454
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELYSHUA RENEE JACKSONCredential: LISW
Location Address1550 OLD HENDERSON RD STE N-271Columbus, OH 43220-3626
Mailing Address3053 E Hudson StColumbus, OH 43219-1632 · (614) 537-2240
Phone(614) 456-7334
Sole ProprietorNo
Enumeration DateApril 9, 2024
Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1477306454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.2405083
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1550 OLD HENDERSON RD STE N-271, Columbus, OH 43220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Grow Healthcare Group PA
998 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

GRESHAYRA MARY NARANJO
Case Manager/Care Coordinator
1550 OLD HENDERSON RD STE N-271
COLUMBUS, OH 43220
Franklin County (614) 456-7334
MR. MAURICE ANTWAN KING
Case Manager/Care Coordinator
1550 OLD HENDERSON RD STE N-271
COLUMBUS, OH 43220
Franklin County (614) 456-7334
SAMORRA DOWER LPC
Counselor (Professional)
1550 OLD HENDERSON RD STE N-271
COLUMBUS, OH 43220
Franklin County (614) 456-7334
MISS KENDRA P. STABLER BA,MA
Case Manager/Care Coordinator
1550 OLD HENDERSON RD STE N-271
COLUMBUS, OH 43220
Franklin County (614) 456-7334
KATELYN STENERSON
Case Manager/Care Coordinator
1550 OLD HENDERSON RD STE N-271
COLUMBUS, OH 43220
Franklin County (614) 456-7334
ROBERT THORNTON JR.
Case Manager/Care Coordinator
1550 OLD HENDERSON RD STE N-271
COLUMBUS, OH 43220
Franklin County (614) 456-7334
JALAH LEMON
Case Manager/Care Coordinator
1550 OLD HENDERSON RD STE N-271
COLUMBUS, OH 43220
Franklin County (623) 521-9008
MRS. SELMA SACKOR TUMBEY
Case Manager/Care Coordinator
1550 OLD HENDERSON RD STE N-271
COLUMBUS, OH 43220
Franklin County (614) 456-7334

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 Elyshua Jackson's NPI number?

The NPI number for Elyshua Jackson is 1477306454. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Elyshua Jackson located?

Elyshua Jackson practices at 1550 Old Henderson Rd Ste N-271, Columbus, OH 43220. The listed phone number is (614) 456-7334.

What is Elyshua Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elyshua Jackson enrolled in Medicare?

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

Which organization bills Medicare for Elyshua Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyshua Jackson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Elyshua Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elyshua Jackson accept?

Health plans from MedMutual and Molina Healthcare list Elyshua 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 Elyshua Jackson was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.