ALLISON CHAREE JACKSON LPCC
NPI 1669930517
Counselor - Professional in Russell, KY

Active since March 11, 2019PECOS EnrolledAccepts Medicare Assignment
1448 DIEDERICH BLVD, RUSSELL, KY 41169(606) 834-0020(606) 834-0049 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2019, Mar 11, 2019 (2 updates tracked since 2019).

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

NPI1669930517
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALLISON CHAREE JACKSONCredential: LPCC
Location Address1448 DIEDERICH BLVDRussell, KY 41169-1719
Mailing Address1448 Diederich BlvdRussell, KY 41169-1719 · (606) 834-0020 · Fax (606) 834-0049
Fax(606) 834-0049
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 11, 2019
Last NPPES UpdateApril 9, 20192 updates tracked since enumeration
NPI 1669930517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KY · 104618
1448 DIEDERICH BLVD, Russell, KY 41169

Other Identifiers 1

Medicaid7100587020KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8123552015
PECOS Enrollment IDI20241114003063
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 4

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

Chiropractor
1448 DIEDERICH BLVD
RUSSELL, KY 41169
Social Worker (Clinical)
1448 DIEDERICH BLVD
RUSSELL, KY 41169
Psychologist (Cognitive & Behavioral)
1448 DIEDERICH BLVD
RUSSELL, KY 41169
Counselor (Professional)
1448 DIEDERICH BLVD
RUSSELL, KY 41169

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.

What insurance does Allison Jackson accept?

Health plans from 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.