BLISS JACKSON
NPI 1871721316
Counselor - Mental Health in Goldsboro, NC

Active since June 23, 2009PECOS Enrolled
1706 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534(919) 734-6676(919) 734-9050 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bliss Jackson NPPES

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

BLISS JACKSON (NPI 1871721316) is an individual mental health provider in Goldsboro, North Carolina, licensed in North Carolina (12206) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871721316
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBLISS JACKSON
Location Address1706 WAYNE MEMORIAL DRGoldsboro, NC 27534-2240
Mailing Address1706 Wayne Memorial DrGoldsboro, NC 27534-2240 · (919) 734-6676 · Fax (919) 734-9050
Fax(919) 734-9050
Sole ProprietorYes
Enumeration DateJune 23, 2009
Last NPPES UpdateFebruary 7, 2025
NPPES CertifiedFebruary 7, 2025
✔ NPI 1871721316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 12206
1706 WAYNE MEMORIAL DR, Goldsboro, NC 27534

Other Names 1

Former Name (1)Bliss Parrish

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bliss Jackson 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.

Medicare Billing Reassignment

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

Mental Health
1706 WAYNE MEMORIAL DR
Goldsboro, NC 27534
  • Reassigned Medicare billing, North Carolina enrollment
  • 25 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.

Marriage & Family Therapist
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Counselor (Addiction (Substance Use Disorder))
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Counselor (Addiction (Substance Use Disorder))
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Social Worker (Clinical)
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Social Worker (Clinical)
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Counselor (Addiction (Substance Use Disorder))
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Counselor (Professional)
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534

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 Bliss Jackson's NPI number?

The NPI number for Bliss Jackson is 1871721316. It was assigned to this individual provider in the NPPES registry on June 23, 2009. The provider is also known as Bliss Parrish.

Where is Bliss Jackson located?

Bliss Jackson practices at 1706 Wayne Memorial Dr, Goldsboro, NC 27534. The listed phone number is (919) 734-6676.

What is Bliss Jackson's specialty?

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

Is Bliss Jackson enrolled in Medicare?

Yes. Bliss Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bliss Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bliss Jackson reassigns Medicare benefits to Waynesboro Family Clinic (Goldsboro, NC). 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 Bliss Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bliss Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Bliss 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 Bliss Jackson was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.