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MRS. KRISTI MICHELLE JACKSON MA, LPC-MHSP
NPI 1750424347
Counselor - Professional in Cookeville, TN

Active since February 14, 2007PECOS Enrolled
1420 NEAL ST, SUITE 202, COOKEVILLE, TN 38501(931) 525-6900(931) 525-6970 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Kristi Michelle Jackson Ma, Lpc-mhsp NPPES

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

MRS. KRISTI MICHELLE JACKSON MA, LPC-MHSP (NPI 1750424347) is an individual professional provider in Cookeville, Tennessee, licensed in Tennessee (2651) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750424347
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KRISTI MICHELLE JACKSONCredential: MA, LPC-MHSP
Location Address1420 NEAL ST, SUITE 202Cookeville, TN 38501-4313
Mailing Address257 Hickory Crest Dr NeCleveland, TN 37323-4592 · (423) 650-0548
Phone(931) 525-6900
Fax(931) 525-6970
Sole ProprietorYes
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1750424347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 2651
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1420 NEAL ST, SUITE 202, Cookeville, TN 38501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristi Michelle Jackson Ma, 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.

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 Kristi Jackson's NPI number?

The NPI number for Kristi Jackson is 1750424347. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Kristi Jackson located?

Kristi Jackson practices at 1420 Neal St, Suite 202, Cookeville, TN 38501. The listed phone number is (931) 525-6900.

What is Kristi Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristi Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristi Jackson was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.