Hillary Jane Jackson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

16521 Summery St
Manor, TX 78653-5455

Phone

(217) 418-8904

NPI assigned

Oct 25, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vivent Health Inc

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1982654091

  TX

  Medicare reassignment Care Compare group NPD
• Vivent Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1770721607
  NPD
• Jeremy Shuman, LLC

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1013453976
  NPD (past)
• The Center for Mindfulness and CBT, LLC

  • Cognitive & Behavioral Psychologist
  • St. Louis, MO
  • NPI 1013267392
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1225540677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 SUMMERY ST",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535455",
            "telephone_number": "217-418-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 SUMMERY ST",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535455",
            "telephone_number": "217-418-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HILLARY",
        "middle_name": "JANE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2016031874",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Che-Yu Hsu, DDS
• Farron Cheryl Hunt, MD
• Sonia Hwang-Penson, MA, EDS
• Hong R Im, D.D.S.
• Estelle Isaac, RBT
• Ali Z. Jahanbin, D.D.S
• Marilyn James, DPT
• Jaymac Chiropractic
• Karalin Maria Joyce, P.A.- C
• Klay Kepple

• Clinical Social Worker in Manor, TX
• Providers in Manor, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.