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DR. RUBY J JACKSON DPC, LPC-S, NCC
NPI 1487162608
Counselor - Professional in Brandon, MS

Active since January 22, 2018PECOS Enrolled
302 AZALEA CT, BRANDON, MS 39047(601) 201-4134 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ruby J Jackson Dpc, Lpc-s, Ncc NPPES

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

DR. RUBY J JACKSON DPC, LPC-S, NCC (NPI 1487162608) is an individual professional provider in Brandon, Mississippi, licensed in Mississippi (1306) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1487162608
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. RUBY J JACKSONCredential: DPC, LPC-S, NCC
Location Address302 AZALEA CTBrandon, MS 39047-7952
Mailing Address302 Azalea CtBrandon, MS 39047-7952 · (601) 201-4134
Phone(601) 201-4134
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 22, 2018
✔ NPI 1487162608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 1306
302 AZALEA CT, Brandon, MS 39047
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ruby J Jackson Dpc, Lpc-s, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284164476
PECOS Enrollment IDI20260414000927
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 Ruby Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
746 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 52 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.

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 Ruby Jackson's NPI number?

The NPI number for Ruby Jackson is 1487162608. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Ruby Jackson located?

Ruby Jackson practices at 302 Azalea Ct, Brandon, MS 39047. The listed phone number is (601) 201-4134.

What is Ruby Jackson's specialty?

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

Is Ruby Jackson enrolled in Medicare?

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

Which organization bills Medicare for Ruby Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby 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 Ruby Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruby Jackson accept?

Health plans from Cigna Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Ruby 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 Ruby Jackson was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.