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

Q: 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.

Q: What is Kristi Jackson's specialty?

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

Q: 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 16 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.

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment

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: November 01, 2026.

On this page

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 and is a graduate of Other (2002).

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

Medical School CMSOtherGraduated 2002

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kristi Michelle Jackson Ma, Lpc-mhsp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173089695

PECOS Enrollment IDI20260724004483

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 Kristi Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA

368 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Tennessee enrollment
56 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kristi Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Jackson reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Kristi Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristi Jackson accept?

Health plans from BlueCross BlueShield of Tennessee list Kristi 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 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 16 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.