ALLISON CHAREE JACKSON LPCC
NPI 1669930517
Counselor - Professional in Russell, KY
About Allison Charee Jackson Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLISON CHAREE JACKSON LPCC (NPI 1669930517) is an individual professional provider in Russell, Kentucky, licensed in Kentucky (104618) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Allison Charee Jackson Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Allison Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ashland, KY 41101
- Reassigned Medicare billing, Kentucky enrollment
- 4 clinicians in this Medicare group
Merrillville, IN 46410
- Reassigned Medicare billing, Kentucky enrollment
- 145 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Allison Jackson's NPI number?
The NPI number for Allison Jackson is 1669930517. It was assigned to this individual provider in the NPPES registry on March 11, 2019.
Where is Allison Jackson located?
Allison Jackson practices at 1448 Diederich Blvd, Russell, KY 41169. The listed phone number is (606) 834-0020.
What is Allison Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Allison Jackson enrolled in Medicare?
Yes. Allison Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Allison Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Jackson reassigns Medicare benefits to 2 organizations: Lighthouse Professional Counseling Services, PLLC (Ashland, KY) and Extended Care Specialists, Inc (Merrillville, IN). 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 Allison Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allison Jackson accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Allison 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 Allison Jackson was last updated on April 9, 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.
# Allison Charee Jackson, LPCC · NPI 1669930517
Professional provider in Russell, Kentucky. Individual provider, active in the CMS NPPES registry since March 11, 2019.
## Identity
- **NPI:** 1669930517 (Entity type: Individual)
- **Enumerated:** March 11, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 104618 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1448 DIEDERICH BLVD, Russell, KY 41169-1719
- **Phone:** (606) 834-0020 · **Fax:** (606) 834-0049
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lighthouse Professional Counseling Services, PLLC (NPI 1003218546, Ashland, KY); Extended Care Specialists, Inc (NPI 1134146079, Merrillville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** April 9, 2019
- **Other identifiers:** Medicaid 7100587020 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1669930517) · Data from the CMS NPPES public registry.