Jaissen Jackson, LMHC
NPI 1275074171 · Mental Health Counselor · Providence, RI
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaissen Jackson, LMHC is a Mental Health Counselor provider in Providence, RI (NPI 1275074171).
Provider details
- NPI number
- 1275074171
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- License
- MHC01094 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-13
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Frequently asked questions
- What is Jaissen Jackson's NPI number?
- Jaissen Jackson's National Provider Identifier (NPI) is 1275074171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaissen Jackson's specialty?
- Jaissen Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jaissen Jackson located?
- Jaissen Jackson's practice location on file with NPPES is 194 Webster Ave, Providence, RI 02909-3818.
- What is Jaissen Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jaissen Jackson is (401) 261-0321.
- Does Jaissen Jackson accept Medicare?
- Jaissen Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaissen Jackson's NPI active?
- Yes — Jaissen Jackson's NPI (1275074171) is active in the NPPES registry as of the last update on 2025-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.