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ALINA KELLY JACKSON LMHC
NPI 1649942459
Counselor - Mental Health in Bronx, NY

Active since September 30, 2021PECOS Enrolled
579 COURTLANDT AVE, BRONX, NY 10451(718) 485-2100 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2026, Sep 30, 2021 (2 updates tracked since 2021).

About Alina Kelly Jackson Lmhc NPPES

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

ALINA KELLY JACKSON LMHC (NPI 1649942459) is an individual mental health provider in Bronx, New York and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Mercy College (2021).

NPPES Registry Identity

NPI1649942459
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALINA KELLY JACKSONCredential: LMHC
Location Address579 COURTLANDT AVEBronx, NY 10451-5013
Mailing Address975 E 181st St Apt 9aBronx, NY 10460-2224 · (929) 450-8339
Phone(718) 485-2100
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2021
Enumeration DateSeptember 30, 2021
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1649942459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
579 COURTLANDT AVE, Bronx, NY 10451
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8527563733
PECOS Enrollment IDI20250926002004
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.

Other Providers at the Same Location NPPES 20

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

ILIANA PAOLA MEDINA
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
KELVIN OLIVO
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
MS. RHAZEEL JANGLERI PLATA
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
VANESSA BAEZ
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
MS. JOMAIRA LUZ MARTINEZ LMSW
Social Worker (Clinical)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
RENNY JASMIN RIVERA
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
ASHEA ACEVEDO
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
SARAH JENSEN MHC
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100

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 Alina Jackson's NPI number?

The NPI number for Alina Jackson is 1649942459. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Alina Jackson located?

Alina Jackson practices at 579 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (718) 485-2100.

What is Alina Jackson's specialty?

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

Is Alina Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alina Jackson was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.