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ERICA JACKSON
NPI 1558916577
Counselor - Mental Health in Louisville, KY

Active since August 06, 2019PECOS Enrolled
451 BAXTER AVE STE 201, LOUISVILLE, KY 40204(502) 383-2969 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2025, Apr 23, 2024, Aug 6, 2019 (3 updates tracked since 2019).

About Erica Jackson NPPES

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

ERICA JACKSON (NPI 1558916577) is an individual mental health provider in Louisville, Kentucky, licensed in Kentucky (296888) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558916577
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameERICA JACKSON
Location Address451 BAXTER AVE STE 201Louisville, KY 40204-1177
Mailing Address11103 Indian Legends Dr Apt 202Louisville, KY 40241-3488 · (859) 539-3683
Phone(502) 383-2969
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 6, 2019
Last NPPES UpdateMay 16, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1558916577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in KY · 296888
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedDriverTaxonomy 172A00000X
451 BAXTER AVE STE 201, Louisville, KY 40204
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erica Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911490958
PECOS Enrollment IDI20251208000800
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 Erica Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seven Counties Services, Inc.
9.2 mi
Mental Health (Including Community Mental Health Center)
10401 LINN STATION RD STE 100
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky enrollment
  • 309 clinicians in this Medicare group
NPI 1598793671 (502) 589-8600

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

Other Providers at the Same Location NPPES 6

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

MARTIN AND MUIR COUNSELING INC
Community/Behavioral Health
451 BAXTER AVE STE 201
LOUISVILLE, KY 40204
Jefferson County (502) 383-2969
SHAWN GARDNER
Counselor (Mental Health)
451 BAXTER AVE STE 201
LOUISVILLE, KY 40204
Jefferson County (502) 383-2969
MRS. LAUREN MUIR LPCC
Counselor (Professional)
451 BAXTER AVE STE 201
LOUISVILLE, KY 40204
Jefferson County (502) 383-2969
CANDACE COOPER LPC
Counselor (Professional)
451 BAXTER AVE STE 201
LOUISVILLE, KY 40204
Jefferson County (502) 383-2969
MR. ROYCE LASHON JONES LLPC
Counselor (Professional)
451 BAXTER AVE STE 201
LOUISVILLE, KY 40204
Jefferson County (502) 383-2969
RENESHA MARTIN
Counselor (Professional)
451 BAXTER AVE STE 201
LOUISVILLE, KY 40204
Jefferson County (502) 383-2969

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 Erica Jackson's NPI number?

The NPI number for Erica Jackson is 1558916577. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Erica Jackson located?

Erica Jackson practices at 451 Baxter Ave Ste 201, Louisville, KY 40204. The listed phone number is (502) 383-2969.

What is Erica Jackson's specialty?

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

Is Erica Jackson enrolled in Medicare?

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

Which organization bills Medicare for Erica Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Jackson reassigns Medicare benefits to Seven Counties Services, Inc. (Louisville, KY). 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 Erica Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield list Erica 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 Erica Jackson was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.