1. Home
  2. Directory
  3. West Virginia
  4. Bridgeport
  5. Counselor
  6. NPI Profile

JACKSON HUSSEY
NPI 1609623420
Counselor in Bridgeport, WV

Active since April 30, 2024PECOS Enrolled
65 PROFESSIONAL PL STE 102, BRIDGEPORT, WV 26330(304) 848-5770 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Apr 30, 2024 (2 updates tracked since 2024).

About Jackson Hussey NPPES

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

JACKSON HUSSEY (NPI 1609623420) is an individual counselor in Bridgeport, West Virginia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2024).

NPPES Registry Identity

NPI1609623420
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJACKSON HUSSEY
Location Address65 PROFESSIONAL PL STE 102Bridgeport, WV 26330-0259
Mailing Address65 Professional Pl Ste 102Bridgeport, WV 26330-0259
Phone(304) 848-5770
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2024
Enumeration DateApril 30, 2024
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1609623420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
65 PROFESSIONAL PL STE 102, Bridgeport, WV 26330
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8022572205
PECOS Enrollment IDI20260709000065
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 Jackson Hussey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Of West Virginia, Inc.
3.0 mi
Federally Qualified Health Center (FQHC)
100 MARKET PL
Bridgeport, WV 26330
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1861831323 (West Virginia)
  • 48 clinicians in this Medicare group
NPI 1063808418 (304) 848-5770

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 9

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

ASHLEY FREEMAN TAYLOR LGSW
Social Worker
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
HANNAH E. SQUIRES
Social Worker
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
ZABRYA LEE ROBSON MA, LPC
Counselor (Mental Health)
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
MARA ALEXIS KIRKPATRICK
Social Worker
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
JOSANDRA DEFAZIO LGSW
Social Worker (Clinical)
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
DR. KEVIN DOUGLAS JUNKINS MD
Psychiatry & Neurology (Psychiatry)
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
MS. KAETLYNN LEIGHANDRA LIPINSKI LGSW
Social Worker
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770
JOHN RYAN HENSON
Case Manager/Care Coordinator
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330
Harrison County (304) 848-5770

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 Jackson Hussey's NPI number?

The NPI number for Jackson Hussey is 1609623420. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Jackson Hussey located?

Jackson Hussey practices at 65 Professional Pl Ste 102, Bridgeport, WV 26330. The listed phone number is (304) 848-5770.

What is Jackson Hussey's specialty?

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

Is Jackson Hussey enrolled in Medicare?

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

Which organization bills Medicare for Jackson Hussey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Hussey reassigns Medicare benefits to Community Care Of West Virginia, Inc. (Bridgeport, WV). 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 Jackson Hussey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Hussey accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jackson Hussey 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 Jackson Hussey was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.