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JESSICA JACKSON
NPI 1821536475
Counselor - Mental Health in Fort Pierce, FL

Active since February 03, 2017PECOS EnrolledAccepts Medicare Assignment
2222 COLONIAL RD STE 100, FORT PIERCE, FL 34950(772) 489-4726 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2020, Feb 3, 2017 (2 updates tracked since 2017).

About Jessica Jackson NPPES

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

JESSICA JACKSON (NPI 1821536475) is an individual mental health provider in Fort Pierce, Florida and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821536475
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA JACKSON
Location Address2222 COLONIAL RD STE 100Fort Pierce, FL 34950-5309
Mailing Address2222 Colonial Rd Ste 100Fort Pierce, FL 34950-5309
Phone(772) 489-4726
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 3, 2017
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1821536475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2222 COLONIAL RD STE 100, Fort Pierce, FL 34950
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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 and accepts Medicare assignment

Jessica Jackson 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 ID7911341938
PECOS Enrollment IDI20240219000751
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 20

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

ZAKIAH ABDUR-RASHID MSW
Counselor (Mental Health)
2222 COLONIAL RD STE 100
FORT PIERCE, FL 34950
St. Lucie County (516) 782-7878
MS. ANDREA KIVINSKI BLUMSTEIN
Counselor (Mental Health)
2222 COLONIAL RD STE 100
FORT PIERCE, FL 34950
St. Lucie County (772) 489-4726
STEFANIE HALLOWELL MS, LPC
Counselor (Mental Health)
2222 COLONIAL RD STE 100
FORT PIERCE, FL 34950
St. Lucie County (772) 489-4726
ALONA R CRIGGER
Counselor (Mental Health)
2222 COLONIAL RD STE 100
FORT PIERCE, FL 34950
St. Lucie County (772) 489-4726
STEPHANIE NUNEZ
Counselor (Mental Health)
2222 COLONIAL RD STE 100
FORT PIERCE, FL 34950
St. Lucie County (772) 489-4726
MRS. WENDY S RATLIFF BA
Social Worker
2222 COLONIAL RD STE 100
FORT PIERCE, FL 34950
St. Lucie County (772) 489-4726
BILLY HERNAIZ
Marriage & Family Therapist
2222 COLONIAL RD STE 100
FORT PIERCE, FL 34950
St. Lucie County (772) 489-4726
AUTUMN ANGEL WHEELER
Counselor (Mental Health)
2222 COLONIAL RD STE 100
FORT PIERCE, FL 34950
St. Lucie County (772) 489-4726

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1821536475. It was assigned to this individual provider in the NPPES registry on February 3, 2017.

Where is Jessica Jackson located?

Jessica Jackson practices at 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950. The listed phone number is (772) 489-4726.

What is Jessica Jackson's specialty?

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

Is Jessica Jackson enrolled in Medicare?

Yes. Jessica 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.

When was this NPI record last updated?

The NPPES record for Jessica Jackson was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.