MS. DIANA SUE JACKSON LMHC, CADC
NPI 1902352412
Counselor - Mental Health in Cedar Rapids, IA

Active since August 25, 2016PECOS EnrolledAccepts Medicare Assignment
1744 2ND AVE SE, CEDAR RAPIDS, IA 52403(319) 366-4673 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2019, Aug 25, 2016 (2 updates tracked since 2016).

About Ms. Diana Sue Jackson Lmhc, Cadc NPPES

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

MS. DIANA SUE JACKSON LMHC, CADC (NPI 1902352412) is an individual mental health provider in Cedar Rapids, Iowa, licensed in Iowa (079713) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902352412
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. DIANA SUE JACKSONCredential: LMHC, CADC
Location Address1744 2ND AVE SECedar Rapids, IA 52403-2306
Mailing Address4101 Hickory Hill LnCedar Rapids, IA 52403-3740 · (319) 213-3775
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 25, 2016
Last NPPES UpdateMay 1, 20192 updates tracked since enumeration
NPI 1902352412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IA · 079713
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 14116 (IA)
1744 2ND AVE SE, Cedar Rapids, IA 52403

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Diana Sue Jackson Lmhc, Cadc 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 ID2365989423
PECOS Enrollment IDI20240807000439
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 4

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

Marriage & Family Therapist
1744 2ND AVE SE
CEDAR RAPIDS, IA 52403
Marriage & Family Therapist
1744 2ND AVE SE
CEDAR RAPIDS, IA 52403
Clinic/Center (Mental Health (Including Community Mental Health Center))
1744 2ND AVE SE
CEDAR RAPIDS, IA 52403
Marriage & Family Therapist
1744 2ND AVE SE
CEDAR RAPIDS, IA 52403

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 Diana Jackson's NPI number?

The NPI number for Diana Jackson is 1902352412. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Diana Jackson located?

Diana Jackson practices at 1744 2nd Ave SE, Cedar Rapids, IA 52403. The listed phone number is (319) 366-4673.

What is Diana Jackson's specialty?

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

Is Diana Jackson enrolled in Medicare?

Yes. Diana 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.

What insurance does Diana Jackson accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Diana 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 Diana Jackson was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.