BRIANNA KALYN JACKSON LPC
NPI 1851133417
Counselor - Professional in Cedar Bluff, VA

Q: What is Brianna Jackson's NPI number?

The NPI number for Brianna Jackson is 1851133417. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Q: What is Brianna 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 Brianna Jackson was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 12, 2024PECOS Enrolled

113 CUMBERLAND ROAD, CEDAR BLUFF, VA 24609(276) 964-6702(276) 964-0292 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brianna Kalyn Jackson Lpc NPPES

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

BRIANNA KALYN JACKSON LPC (NPI 1851133417) is an individual professional provider in Cedar Bluff, Virginia, licensed in (0701013628) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851133417

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameBRIANNA KALYN JACKSONCredential: LPC

Location Address113 CUMBERLAND ROADCedar Bluff, VA 24609-0810

Mailing AddressPo Box 810Cedar Bluff, VA 24609-0810 · (276) 964-6702 · Fax (276) 964-0292

Phone(276) 964-6702

Fax(276) 964-0292

Sole ProprietorNo

Enumeration DateJune 12, 2024

NPPES CertifiedJune 6, 2024

✔ NPI 1851133417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed · 0701013628

113 CUMBERLAND ROAD, Cedar Bluff, VA 24609

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Secondary Practice Locations 2

Location 1196 Cumberland RdCedar Bluff, VA 24609-1137 · Phone (276) 964-6702 · Fax (276) 964-0292

Location 278 Rogers StreetLebanon, VA 24266 · Phone (276) 889-3785

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna Kalyn Jackson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

ALISSA JOI DEEL LPC

Counselor (Professional)