THERESIA RENE JACKSON LMHC
NPI 1649813619
Counselor - Mental Health in Ocala, FL
About Theresia Rene Jackson Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESIA RENE JACKSON LMHC (NPI 1649813619) is an individual mental health provider in Ocala, Florida, licensed in Florida (MI16018) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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)
Theresia Rene Jackson Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresia Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bethesda, MD 20814
- Reassigned Medicare billing, Florida enrollment
- 81 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 Theresia Jackson's NPI number?
The NPI number for Theresia Jackson is 1649813619. It was assigned to this individual provider in the NPPES registry on October 23, 2019.
Where is Theresia Jackson located?
Theresia Jackson practices at 6460 NW 67th Ter, Ocala, FL 34482. The listed phone number is (352) 875-1179.
What is Theresia Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Theresia Jackson enrolled in Medicare?
Yes. Theresia Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresia Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresia Jackson reassigns Medicare benefits to Uplift Behavioral Health PC (Bethesda, MD). 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 Theresia Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresia Jackson accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Theresia 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 Theresia Jackson was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Theresia Rene Jackson, LMHC · NPI 1649813619
Mental Health provider in Ocala, Florida. Individual provider, active in the CMS NPPES registry since October 23, 2019.
## Identity
- **NPI:** 1649813619 (Entity type: Individual)
- **Enumerated:** October 23, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MI16018 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6460 NW 67TH TER, Ocala, FL 34482-2130
- **Phone:** (352) 875-1179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Uplift Behavioral Health PC (NPI 1629740410, Bethesda, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 23, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1649813619) · Data from the CMS NPPES public registry.