KEIRA MICHELLE JACKSON
NPI 1699249839
Counselor - Mental Health in Manassas, VA
About Keira Michelle Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIRA MICHELLE JACKSON (NPI 1699249839) is an individual mental health provider in Manassas, Virginia, licensed in Virginia (0704014248) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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)
Keira Michelle Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Keira Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manassas, VA 20109
- Reassigned Medicare billing, Virginia enrollment
- 141 clinicians in this Medicare group
Arlington, VA 22207
- Reassigned Medicare billing, District of Columbia enrollment
- 267 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 Keira Jackson's NPI number?
The NPI number for Keira Jackson is 1699249839. It was assigned to this individual provider in the NPPES registry on January 21, 2019.
Where is Keira Jackson located?
Keira Jackson practices at 8601 Rose Mallow Dr Apt 415, Manassas, VA 20109. The listed phone number is (757) 232-9100.
What is Keira Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Keira Jackson enrolled in Medicare?
Yes. Keira Jackson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Keira Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keira Jackson reassigns Medicare benefits to 2 organizations: Prince William County Community Services Board (Manassas, VA) and Columbia Associates In Psychiatry PC (Arlington, VA). 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 Keira Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keira Jackson accept?
Health plans from Oscar Health list Keira 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 Keira Jackson was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Keira Michelle Jackson · NPI 1699249839
Mental Health provider in Manassas, Virginia. Individual provider, active in the CMS NPPES registry since January 21, 2019.
## Identity
- **NPI:** 1699249839 (Entity type: Individual)
- **Enumerated:** January 21, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0704014248 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8601 ROSE MALLOW DR APT 415, Manassas, VA 20109-4025
- **Phone:** (757) 232-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prince William County Community Services Board (NPI 1053402800, Manassas, VA); Columbia Associates In Psychiatry PC (NPI 1699012930, Arlington, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1699249839) · Data from the CMS NPPES public registry.