ALISSA NICOLE JACKSON LISW-S
NPI 1891383006
Social Worker - Clinical in Columbus, OH

Active since January 04, 2021PECOS Enrolled
929 HARRISON AVE STE 304, COLUMBUS, OH 43215(614) 940-4868 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alissa Nicole Jackson Lisw-s NPPES

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

ALISSA NICOLE JACKSON LISW-S (NPI 1891383006) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (I0900346) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1891383006
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALISSA NICOLE JACKSONCredential: LISW-S
Location Address929 HARRISON AVE STE 304Columbus, OH 43215-1346
Mailing Address5101 Cornice CtGalena, OH 43021-9076 · (614) 403-1476
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 4, 2021
NPPES CertifiedJanuary 4, 2021
✔ NPI 1891383006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I0900346
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
929 HARRISON AVE STE 304, Columbus, OH 43215

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)

Alissa Nicole Jackson Lisw-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981100625
PECOS Enrollment IDI20251001004476
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 Alissa Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3430 OHIO HEALTH PKWY
Columbus, OH 43202
  • Reassigned Medicare billing, Ohio enrollment
  • 174 clinicians in this Medicare group
Clinical
3787 ATTUCKS DR
Powell, OH 43065
  • Reassigned Medicare billing, Ohio enrollment
  • 2 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
929 HARRISON AVE STE 304
COLUMBUS, OH 43215
Social Worker (Clinical)
929 HARRISON AVE STE 304
COLUMBUS, OH 43215
Family Medicine (Adult Medicine)
929 HARRISON AVE STE 304
COLUMBUS, OH 43215
Social Worker (Clinical)
929 HARRISON AVE STE 304
COLUMBUS, OH 43215

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 Alissa Jackson's NPI number?

The NPI number for Alissa Jackson is 1891383006. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Alissa Jackson located?

Alissa Jackson practices at 929 Harrison Ave Ste 304, Columbus, OH 43215. The listed phone number is (614) 940-4868.

What is Alissa Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alissa Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Alissa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Jackson reassigns Medicare benefits to 2 organizations: Oh Independent Medical Group LLC (Columbus, OH) and Embracing Wholeness LLC (Powell, OH). 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 Alissa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alissa Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 3 other insurers list Alissa 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 Alissa Jackson was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.