MS. MELISSA RENA JACKSON MHR, LPC
NPI 1609145184
Counselor in Midwest City, OK

Active since December 29, 2011PECOS Enrolled
11541 VILLAGE AVE, MIDWEST CITY, OK 73130(405) 201-3646 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Melissa Rena Jackson Mhr, Lpc NPPES

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

MS. MELISSA RENA JACKSON MHR, LPC (NPI 1609145184) is an individual counselor in Midwest City, Oklahoma and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609145184
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. MELISSA RENA JACKSONCredential: MHR, LPC
Location Address11541 VILLAGE AVEMidwest City, OK 73130-8207
Mailing Address11541 Village AveMidwest City, OK 73130-8207 · (405) 201-3646
Sole ProprietorYes
Enumeration DateDecember 29, 2011
Last NPPES UpdateAugust 29, 2013
✔ NPI 1609145184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
11541 VILLAGE AVE, Midwest City, OK 73130

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Melissa Rena Jackson Mhr, Lpc 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 Melissa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
4400 N LINCOLN BLVD
Oklahoma City, OK 73105
  • Reassigned Medicare billing, Oklahoma enrollment
  • 201 clinicians in this Medicare group

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1609145184. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Melissa Jackson located?

Melissa Jackson practices at 11541 Village Ave, Midwest City, OK 73130. The listed phone number is (405) 201-3646.

What is Melissa Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Melissa Jackson enrolled in Medicare?

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

Which organization bills Medicare for Melissa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Jackson reassigns Medicare benefits to Oklahoma Mental Health Council (Oklahoma City, OK). 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 Melissa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Jackson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Melissa 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 Melissa Jackson was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.