Cassie Thacker Jackson, MASTER OF EDUCATION

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

4987 Murphy Dome Rd
Fairbanks, AK 99709-5974

Phone

(907) 888-2082

NPI assigned

Aug 22, 2022

Last updated

Mar 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Driftwood Counseling LLC

  • Professional Counselor
  • Fairbanks, AK
  • NPI 1992667372
  NPD Authorized official
• Anchorage Community Mental Health Services Inc.

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1326268301
  NPD
• Anchorage Community Mental Health Services Inc.

  dba Alaska Behavioral Health

  • Primary Care Nurse Practitioner
  • Wasilla, AK
  • NPI 1518673995
  NPD
• Anchorage Community Mental Health Services, Inc

  dba Alaska Behavioral Health

  • Primary Care Nurse Practitioner
  • Fairbanks, AK
  • NPI 1083431688
  NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1376261602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4987 MURPHY DOME RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095974",
            "telephone_number": "907-888-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 MURPHY DOME RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095974",
            "telephone_number": "907-888-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CASSIE",
        "middle_name": "THACKER",
        "credential": "MASTER OF EDUCATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hisako Ito, NCTMB/MPL
• Donald Ives, M.D.
• Precious Eyewumi Izeagi, MSN, APRN, PMHNP-BC
• Jace LLC
• Amani Ayisha Jackson
• Megan Jackson, FNP-C
• Nakea Jackson, PTA
• Rickale K Jackson
• Tanya L Jackson
• Vanessa Rachel Jackson, CDM

• Professional Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.