Active NPI
Rebecca Lynn Jackson
- Clinical Social Worker
- Mason, MI
National Provider Identifier
1306329313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801114924
- Practice address
- 806 Hogsback Rd Ste C
Mason, MI 48854-8525 - Phone
- (734) 658-1552
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801114924 | MI | |
| Clinical Social Worker | 1041C0700X | 6801114924 | MI | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
806 Hogsback Rd Ste C
Mason, MI 48854-8525
Mailing address
1735 Nemoke TRL Apt 8
Haslett, MI 48840-8641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407800931 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
806 Hogsback Rd
Suite C
Mason, MI 48854-8525
Phone (734) 658-1552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Counseling Services LLC | Social Worker | Current | Accepting new patients |
| Cristo Rey Community Center | Mental Health | Past | Accepting new patients |
| Catholic Charities of Ingham, Eaton and Clinton Counties | Past | Accepting new patients |
Locations
806 Hogsback Rd
Ste C
Mason, MI 48854
Phone (517) 244-9170
4084 Okemos Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4848
Organizations & group practices 3
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.
-
- Social Worker
- Mason, MI
- NPI 1326773656
-
- General Practice Physician
- Lansing, MI
- NPI 1407800931
-
- Addiction (Substance Use Disorder) Counselor
- Lansing, MI
- NPI 1700901964
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1306329313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 NEMOKE TRL APT 8",
"city": "HASLETT",
"state": "MI",
"postal_code": "488408641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 HOGSBACK RD STE C",
"city": "MASON",
"state": "MI",
"postal_code": "488548525",
"telephone_number": "734-658-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "REBECCA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801114924",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801114924",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407800931",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.
- 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.