ANDREW NOBLE JACKSON LPC
NPI 1528492667
Counselor - Professional in Ridgeland, MS
About Andrew Noble Jackson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW NOBLE JACKSON LPC (NPI 1528492667) is an individual professional provider in Ridgeland, Mississippi, licensed in Mississippi (1799) and active in the NPI registry since August 2013. He has opted out of Medicare through January 26, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Andrew Noble Jackson Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2026 through January 26, 2028.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGELAND, MS 39157
RIDGELAND, MS 39157
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 Andrew Jackson's NPI number?
The NPI number for Andrew Jackson is 1528492667. It was assigned to this individual provider in the NPPES registry on August 26, 2013. The provider is also known as Drew Jackson Lpc.
Where is Andrew Jackson located?
Andrew Jackson practices at 207 W Jackson St Suite 1, Ridgeland, MS 39157. The listed phone number is (601) 982-9551.
What is Andrew Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Andrew Jackson enrolled in Medicare?
No. Andrew Jackson has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Andrew Jackson was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Andrew Noble Jackson, LPC · NPI 1528492667
Professional provider in Ridgeland, Mississippi. Individual provider, active in the CMS NPPES registry since August 26, 2013.
## Identity
- **NPI:** 1528492667 (Entity type: Individual)
- **Enumerated:** August 26, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 1799 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 207 W JACKSON ST, SUITE 1, Ridgeland, MS 39157-2355
- **Phone:** (601) 982-9551
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 15, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1528492667) · Data from the CMS NPPES public registry.