EMILY KRISTIN JACKSON LPC-MH, NCC, QMHP
NPI 1750048013
Counselor - Mental Health in Sioux Falls, SD

Active since November 22, 2021Opted out of Medicare · through Jan 1, 2028
1110 E 77TH ST, SIOUX FALLS, SD 57108(605) 275-0009 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emily Kristin Jackson Lpc-mh, Ncc, Qmhp NPPES

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

EMILY KRISTIN JACKSON LPC-MH, NCC, QMHP (NPI 1750048013) is an individual mental health provider in Sioux Falls, South Dakota, licensed in South Dakota (LPC-MH30714) and active in the NPI registry since November 2021. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750048013
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMILY KRISTIN JACKSONCredential: LPC-MH, NCC, QMHP
Location Address1110 E 77TH STSioux Falls, SD 57108-3020
Mailing Address3501 S Linedrive Ave Apt 107Sioux Falls, SD 57110-4127 · (712) 261-1945
Sole ProprietorNo
Enumeration DateNovember 22, 2021
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
NPI 1750048013 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 SD · LPC-MH30714
1110 E 77TH ST, Sioux Falls, SD 57108

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Emily Kristin Jackson Lpc-mh, Ncc, Qmhp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

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

Social Worker
1110 E 77TH ST
SIOUX FALLS, SD 57108
Counselor (Mental Health)
1110 E 77TH ST
SIOUX FALLS, SD 57108
Counselor (Professional)
1110 E 77TH ST
SIOUX FALLS, SD 57108
Social Worker
1110 E 77TH ST
SIOUX FALLS, SD 57108
Social Worker (Clinical)
1110 E 77TH ST
SIOUX FALLS, SD 57108
Counselor (Mental Health)
1110 E 77TH ST
SIOUX FALLS, SD 57108
Counselor (Professional)
1110 E 77TH ST
SIOUX FALLS, SD 57108
Counselor (Professional)
1110 E 77TH ST
SIOUX FALLS, SD 57108

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 Emily Jackson's NPI number?

The NPI number for Emily Jackson is 1750048013. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Emily Jackson located?

Emily Jackson practices at 1110 E 77th St, Sioux Falls, SD 57108. The listed phone number is (605) 275-0009.

What is Emily Jackson's specialty?

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

Is Emily Jackson enrolled in Medicare?

No. Emily Jackson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Emily Jackson accept?

Health plans from Avera Health Plans and Sanford Health Plan list Emily 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 Emily Jackson was last updated on November 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.