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NATASHA V JACKSON
NPI 1952641805
Counselor - Mental Health in Jackson, MS

Active since February 28, 2013PECOS Enrolled
180 SHEPPARD RD STE 115, JACKSON, MS 39206(601) 813-6141 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Dec 4, 2017 (2 updates tracked since 2017).

About Natasha V Jackson NPPES

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

NATASHA V JACKSON (NPI 1952641805) is an individual mental health provider in Jackson, Mississippi, licensed in Mississippi (C8125) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1952641805
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNATASHA V JACKSON
Location Address180 SHEPPARD RD STE 115Jackson, MS 39206-4033
Mailing Address455 Crossgates Blvd Apt 226Brandon, MS 39042-2560 · (601) 813-6141
Phone(601) 813-6141
Sole ProprietorYes
Enumeration DateFebruary 28, 2013
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1952641805 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 MS · C8125
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C8125 (MS)
180 SHEPPARD RD STE 115, Jackson, MS 39206
Open in Google Maps ↗

Secondary Practice Location 1

Location 13450 Highway 80 WJackson, MS 39209-7201 · Phone (601) 321-2400 · Fax (601) 321-2476

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natasha V 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 Reassignments

2

Medicare enrollment records show Natasha Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newstart Medical Group Inc
1,783 mi
Rural Health
20601 WEST PAOLI LANE
Weimar, CA 95736
  • Reassigned Medicare billing, California enrollment
  • 39 clinicians in this Medicare group
NPI 1588072698 (530) 296-4417
Sud Specialty Group - Ca
1,831 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Natasha Jackson's NPI number?

The NPI number for Natasha Jackson is 1952641805. It was assigned to this individual provider in the NPPES registry on February 28, 2013.

Where is Natasha Jackson located?

Natasha Jackson practices at 180 Sheppard Rd Ste 115, Jackson, MS 39206. The listed phone number is (601) 813-6141.

What is Natasha Jackson's specialty?

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

Is Natasha Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Natasha Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natasha Jackson reassigns Medicare benefits to 2 organizations: Newstart Medical Group Inc (Weimar, CA) and Sud Specialty Group - Ca (Santa Clara, CA). 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 Natasha Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natasha Jackson accept?

Health plans from Cigna Healthcare list Natasha 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 Natasha Jackson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.