KENDRA JACKSON LCSW
NPI 1851045983
Social Worker in Lexington, KY

Active since February 08, 2022PECOS EnrolledAccepts Medicare Assignment
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kendra Jackson Lcsw NPPES

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

KENDRA JACKSON LCSW (NPI 1851045983) is an individual social worker in Lexington, Kentucky and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851045983
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKENDRA JACKSONCredential: LCSW
Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511-1277
Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1277
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 8, 2022
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1851045983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511

Other Identifiers 1

Medicaid1790731081KY

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

Kendra Jackson Lcsw 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 ID8022592518
PECOS Enrollment IDI20260323003153
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 Reassignments

2

Medicare enrollment records show Kendra Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1351 NEWTOWN PIKE, BLDG 5
Lexington, KY 40511
  • Reassigned Medicare billing, Kentucky enrollment
  • 141 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 255 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 20

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

Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Counselor (Mental Health)
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511

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 Kendra Jackson's NPI number?

The NPI number for Kendra Jackson is 1851045983. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Kendra Jackson located?

Kendra Jackson practices at 1351 Newtown Pike Bldg 1, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Kendra Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kendra Jackson enrolled in Medicare?

Yes. Kendra 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 Kendra Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Jackson reassigns Medicare benefits to 2 organizations: New Vista Of The Bluegrass (Lexington, KY) and Grow Healthcare Group PA (Miami, FL). 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 Kendra Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kendra 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 Kendra Jackson was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.