Individual provider Active NPI

Rebecca Lynn Jackson

  • Clinical Social Worker
  • Mason, MI
National Provider Identifier
1306329313
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114924 Issued in MI
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

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1407800931MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013002319 MI Practitioner - Clinical Social Worker 5698141869 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Jackson Counseling Services LLC Social Worker CurrentSince Aug 26, 2022 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.

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

Verify at the official NPI Registry.