TRACIE R JACKSON PRS
NPI 1982494522
Peer Specialist in Covington, KY

Q: What is Tracie Jackson's NPI number?

The NPI number for Tracie Jackson is 1982494522. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Q: What is Tracie Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracie Jackson was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 07, 2025

9186 BLUERIDGE DRIVE, COVINGTON, KY 41017(859) 912-5618 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracie R Jackson Prs NPPES

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

TRACIE R JACKSON PRS (NPI 1982494522) is an individual peer specialist in Covington, Kentucky and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1982494522

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTRACIE R JACKSONCredential: PRS

Location Address9186 BLUERIDGE DRIVECovington, KY 41017

Mailing Address9186 Blueridge DriveCovington, KY 41017 · (859) 912-5618

Phone(859) 912-5618

Sole ProprietorNo

Enumeration DateMay 7, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1982494522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

9186 BLUERIDGE DRIVE, Covington, KY 41017

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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 Tracie Jackson's NPI number?

The NPI number for Tracie Jackson is 1982494522. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Tracie Jackson located?

Tracie Jackson practices at 9186 Blueridge Drive, Covington, KY 41017. The listed phone number is (859) 912-5618.

What is Tracie Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tracie Jackson was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.