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TRACEY ANN JACKSON LBSW
NPI 1861643389
Counselor - Mental Health in Greenwood, SC

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment
1547 PARKWAY STE 100, GREENWOOD, SC 29646(864) 229-7120 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tracey Ann Jackson Lbsw NPPES

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

TRACEY ANN JACKSON LBSW (NPI 1861643389) is an individual mental health provider in Greenwood, South Carolina and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1861643389
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACEY ANN JACKSONCredential: LBSW
Location Address1547 PARKWAY STE 100Greenwood, SC 29646-4081
Mailing Address2413 Cedar Spgs SAbbeville, SC 29620-6246 · (864) 446-3407
Phone(864) 229-7120
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 2, 2008
✔ NPI 1861643389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1547 PARKWAY STE 100, Greenwood, SC 29646
Open in Google Maps ↗

Other Identifiers 2

Medicaid421504SC
Medicare PIN3430SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Tracey Ann Jackson Lbsw 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 ID3971974460
PECOS Enrollment IDI20230119002897
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 Reassignment

Medicare enrollment records show Tracey Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Self Medical Group
0.1 mi
Internal Medicine
115 OVERLAND DRIVE
Greenwood, SC 29646
  • Reassigned Medicare billing, South Carolina enrollment
  • 560 clinicians in this Medicare group
NPI 1407146715 (864) 227-6641

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.

ANDREW CHRISTOPHER EMILY
Counselor
1547 PARKWAY STE 100
GREENWOOD, SC 29646
Greenwood County (864) 223-8331
SARAH HELEN CALDWELL
Counselor (Mental Health)
1547 PARKWAY STE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
MRS. ASHLEE NICOLE REDFERN BS
Counselor (Mental Health)
1547 PARKWAY STE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
KAYLA SHAW
Counselor (Mental Health)
1547 PARKWAY STE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
MRS. TAIIS L EALY
Counselor (Mental Health)
1547 PARKWAY STE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
MR. AMY P LOFTUS LPC
Counselor (Professional)
1547 PARKWAY STE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
MR. DREW HODGES CASPER M.S.
Counselor
1547 PARKWAY STE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
TRACY L BUSH
Counselor (Mental Health)
1547 PARKWAY STE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120

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 Tracey Jackson's NPI number?

The NPI number for Tracey Jackson is 1861643389. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Tracey Jackson located?

Tracey Jackson practices at 1547 Parkway Ste 100, Greenwood, SC 29646. The listed phone number is (864) 229-7120.

What is Tracey Jackson's specialty?

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

Is Tracey Jackson enrolled in Medicare?

Yes. Tracey 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 organization bills Medicare for Tracey Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Jackson reassigns Medicare benefits to Self Medical Group (Greenwood, SC). The 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 Tracey Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracey Jackson accept?

Health plans from First Choice Next list Tracey 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 Tracey Jackson was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.