LEEANN G JACKSON LPC
NPI 1790270049
Counselor - Professional in Kenosha, WI

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
6525 GREEN BAY RD STE 2, KENOSHA, WI 53142(262) 999-3495 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 3, 2026, Mar 13, 2023, Dec 6, 2022 and 1 more (4 updates tracked since 2018).

About Leeann G Jackson Lpc NPPES

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

LEEANN G JACKSON LPC (NPI 1790270049) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (7126-125) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1790270049
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLEEANN G JACKSONCredential: LPC
Location Address6525 GREEN BAY RD STE 2Kenosha, WI 53142-2967
Mailing Address6525 Green Bay Rd Ste 2Kenosha, WI 53142-2967
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 28, 2018
Last NPPES UpdateJune 3, 20264 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1790270049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in WI · 7126-125 Licensed in IL · 178009221
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16281-131 (WI)
Also ListedArt TherapistTaxonomy 221700000X · License 121-36 (WI)
6525 GREEN BAY RD STE 2, Kenosha, WI 53142

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leeann G Jackson Lpc 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 ID8224575808
PECOS Enrollment IDI20240731002981
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 13

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

Counselor (Professional)
6525 GREEN BAY RD STE 2
KENOSHA, WI 53142
Nurse Practitioner (Psychiatric/Mental Health)
6525 GREEN BAY RD STE 2
KENOSHA, WI 53142
Counselor (Professional)
6525 GREEN BAY RD STE 2
KENOSHA, WI 53142
Counselor (Professional)
6525 GREEN BAY RD STE 2
KENOSHA, WI 53142
Psychologist (Clinical)
6525 GREEN BAY RD STE 2
KENOSHA, WI 53142
Social Worker (Clinical)
6525 GREEN BAY RD STE 2
KENOSHA, WI 53142
Counselor (Professional)
6525 GREEN BAY RD STE 2
KENOSHA, WI 53142
Nurse Practitioner (Psychiatric/Mental Health)
6525 GREEN BAY RD STE 2
KENOSHA, WI 53142

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 Leeann Jackson's NPI number?

The NPI number for Leeann Jackson is 1790270049. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Leeann Jackson located?

Leeann Jackson practices at 6525 Green Bay Rd Ste 2, Kenosha, WI 53142. The listed phone number is (262) 999-3495.

What is Leeann Jackson's specialty?

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

Is Leeann Jackson enrolled in Medicare?

Yes. Leeann 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.

What insurance does Leeann Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 2 other insurers list Leeann 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 Leeann Jackson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.