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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: October 18, 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.

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
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
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Azia Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rh Mental Health, LLC
69 mi
Multi-Specialty
1608 WILLIAMS DR STE 301
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 27 clinicians in this Medicare group
NPI 1598413833 (865) 712-8723

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 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.

Which organization bills Medicare for Azia Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azia Jackson reassigns Medicare benefits to Rh Mental Health, LLC (Murfreesboro, TN). The 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 Azia Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Azia Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 15 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.