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AZIA JACKSON LPC-MHSP
NPI 1710878194
Counselor - Mental Health in Clarksville, TN

Active since July 14, 2025PECOS Enrolled
223 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043(931) 444-3219 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Azia Jackson Lpc-mhsp NPPES

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

AZIA JACKSON LPC-MHSP (NPI 1710878194) is an individual mental health provider in Clarksville, Tennessee, licensed in Tennessee (8067) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710878194
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAZIA JACKSONCredential: LPC-MHSP
Location Address223 DUNBAR CAVE RD STE AClarksville, TN 37043-8831
Mailing Address223 Dunbar Cave Rd Ste AClarksville, TN 37043-8831
Phone(931) 444-3219
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1710878194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 8067
223 DUNBAR CAVE RD STE A, Clarksville, TN 37043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azia Jackson Lpc-mhsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254835986
PECOS Enrollment IDI20250917000370
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.

SHANA BRIANNE SHAW
Counselor (Mental Health)
223 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043
Montgomery County (931) 444-3219
JASMINE MARIE CUNNINGHAM LMSW
Social Worker
223 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043
Montgomery County (931) 444-3219
ALLISON FORDYCE
Counselor (Mental Health)
223 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043
Montgomery County (931) 444-3219
AMBER MICHELLE STEVENSON LMSW
Social Worker
223 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043
Montgomery County (931) 444-3219
HANNAH RAE RUSSELL LMSW
Social Worker
223 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043
Montgomery County (931) 444-3219
MISS AALIYAH BRE'EL RODGERS LCSW
Social Worker (Clinical)
223 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043
Montgomery County (931) 444-3219
TAIYLOR MAREE PROBERTS
Counselor (Mental Health)
223 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043
Montgomery County (931) 444-3219
SAMANTHA PURSLEY MS
Counselor (Mental Health)
223 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043
Montgomery County (931) 444-3219

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 Azia Jackson's NPI number?

The NPI number for Azia Jackson is 1710878194. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Azia Jackson located?

Azia Jackson practices at 223 Dunbar Cave Rd Ste A, Clarksville, TN 37043. The listed phone number is (931) 444-3219.

What is Azia Jackson's specialty?

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

Is Azia Jackson enrolled in Medicare?

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

What insurance does Azia Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Azia 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 Azia Jackson was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.