LEEANN G JACKSON LPC
NPI 1790270049
Counselor - Professional in Kenosha, WI
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
Specialties & Licenses 3
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Leeann Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gurnee, IL 60031
- Reassigned Medicare billing, Illinois enrollment
- 2 clinicians in this Medicare group
Brookfield, WI 53005
- Reassigned Medicare billing, Wisconsin enrollment
- 556 clinicians in this Medicare group
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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENOSHA, WI 53142
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.
Which organizations bill Medicare for Leeann Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leeann Jackson reassigns Medicare benefits to 2 organizations: Vibrant Integrative Psychiatry PLLC (Gurnee, IL) and Cornerstone Counseling Services, Inc (Brookfield, WI). Each 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 Leeann Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leeann Jackson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Medica and 3 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 5 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.
# Leeann G Jackson, LPC · NPI 1790270049
Professional provider in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since June 28, 2018.
## Identity
- **NPI:** 1790270049 (Entity type: Individual)
- **Enumerated:** June 28, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7126-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6525 GREEN BAY RD STE 2, Kenosha, WI 53142-2967
- **Phone:** (262) 999-3495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vibrant Integrative Psychiatry PLLC (NPI 1356050769, Gurnee, IL); Cornerstone Counseling Services, Inc (NPI 1033127246, Brookfield, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 3, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1790270049) · Data from the CMS NPPES public registry.