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TARICA RASHAUN JACKSON LCSW
NPI 1598405722
Social Worker - Clinical in Loves Park, IL

Active since March 29, 2022PECOS Enrolled
228 EVELYN AVE APT 3, LOVES PARK, IL 61111(779) 220-0223(888) 668-1804 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tarica Rashaun Jackson Lcsw NPPES

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

TARICA RASHAUN JACKSON LCSW (NPI 1598405722) is an individual clinical provider in Loves Park, Illinois, licensed in Illinois (149.024421) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598405722
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARICA RASHAUN JACKSONCredential: LCSW
Location Address228 EVELYN AVE APT 3Loves Park, IL 61111-5097
Mailing Address228 Evelyn Ave Apt 3Loves Park, IL 61111-5097 · (779) 220-0223 · Fax (888) 668-1804
Phone(779) 220-0223
Fax(888) 668-1804
Sole ProprietorYes
Enumeration DateMarch 29, 2022
Last NPPES UpdateSeptember 1, 2026
NPPES CertifiedSeptember 1, 2026
✔ NPI 1598405722 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 IL · 149.024421
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.
228 EVELYN AVE APT 3, Loves Park, IL 61111
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tarica Rashaun Jackson Lcsw 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

2

Medicare enrollment records show Tarica Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faith Moves Mountains Counseling And Therapy LLC
Same address
Clinical
228 EVELYN AVE APT 3
Loves Park, IL 61111
  • Reassigned Medicare billing, Illinois enrollment
NPI 1477386332 (779) 220-0223
Grow Healthcare Group PA
1,246 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 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 61111 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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

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

FAITH MOVES MOUNTAINS COUNSELING AND THERAPY LLC
Social Worker (Clinical)
228 EVELYN AVE APT 3
LOVES PARK, IL 61111
Winnebago County (779) 220-0223

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 Tarica Jackson's NPI number?

The NPI number for Tarica Jackson is 1598405722. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Tarica Jackson located?

Tarica Jackson practices at 228 Evelyn Ave Apt 3, Loves Park, IL 61111. The listed phone number is (779) 220-0223.

What is Tarica Jackson's specialty?

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

Is Tarica Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Tarica Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarica Jackson reassigns Medicare benefits to 2 organizations: Faith Moves Mountains Counseling And Therapy LLC (Loves Park, IL) and Grow Healthcare Group PA (Miami, FL). 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 Tarica Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tarica Jackson was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.