Adriaka Y Jackson, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39004508A Issued in IN

Practice address

5123 Milhouse Rd
Indianapolis, IN 46221-4213

Phone

(317) 835-3435

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Adriaka Y Duffy Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adriakajackson@tdh.allscriptsdirect.net

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IN

  Medicare reassignment NPD
• Renew Life Concepts, LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1528602257

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• The Well Counseling and Consulting Group

  • Counselor
  • Indianapolis, IN
  • NPI 1194227041
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1295378941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 MILHOUSE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462214213",
            "telephone_number": "317-835-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 MILHOUSE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462214213",
            "telephone_number": "317-835-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ADRIAKA",
        "middle_name": "Y",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004508A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC5365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8973191013",
            "identifier": "8973191013",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Indianapolis",
            "affiliation": "N",
            "endpointDescription": "renewlifeconcepts@gmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Indianapolis",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Indianapolis",
            "address_1": "6007 Milhouse Rd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462214020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIAKA",
            "last_name": "DUFFY",
            "middle_name": "Y",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie A. Jackovich, NP
• Ebony Jacks
• Cahlil Michael Jackson-Chapple
• Jennifer Jackson-Harr, LCSW
• Adalyn Jackson
• Alisa Jackson, PHARMD
• Arron Jackson
• Ashley L Jackson, RBT
• Ashley N. Jackson, MA, LMHC
• Brooke Jackson, NP

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.