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Heather Leann Jackson , LPCC

Counselor - Professional β€’ Versailles, KY

Active NPI 1679948491 Individual Practitioner Female Practitioner
Practice location in NPPES

Simmons Elementary Healthy Kids Clinic, 830 Tyrone Pike
Versailles, KY 403831323

Call 8444350900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Simmons Elementary Healthy Kids Clinic
830 Tyrone Pike

Versailles, KY 403831323

Telephone 8444350900
Fax 2708584029
Organization at the Same NPPES Address or Phone
Cumberland Family Medical Center Inc Facility NPI 1003533530

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Heather Jackson as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Versailles and Kentucky

12 active clinicians are listed under Counselor - Professional with a practice address in Versailles, KY (2,191 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Versailles

0% of these 12 clinicians have the CMS telehealth indicator.

25% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-25
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES KY 283493
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES KY 169029
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1679948491 (KY)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
Rebecca Albright , APRN

Nurse Practitioner - Family

NPI 1700216264

Advanced Practice Registered Nurse

Mindy Allen , PA-C

Physician Assistant

NPI 1245872639

Physician Assistant (Certified)

Morgan Altman , APRN, FNP

Nurse Practitioner - Family

NPI 1346762663

Advanced Practice Registered Nurse, Family Nurse Practitioner

Katherine Baldwin , NP-C

Nurse Practitioner - Family

NPI 1114437795

Nurse Practitioner (Certified)

Diane Cardin , ARNP

Nurse Practitioner - Family

NPI 1841504578

Advanced Registered Nurse Practitioner

Calli Cox

Nurse Practitioner - Family

NPI 1831685973

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location January 09, 2024

Registered at SIMMONS ELEMENTARY HEALTHY KIDS CLINIC, 830 TYRONE PIKE, VERSAILLES, KY 403831323 (Tel: 8444350900)

πŸ“
Updated Business Mailing Address January 09, 2024

Registered at PO BOX 1080, BURKESVILLE, KY 427171080 (Tel: 2708586655)

πŸ‘€
Provider Name / Credentials Updated January 09, 2024

Recorded as HEATHER JACKSON, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2024

Counselor (license number reported to NPPES: KY 283493)

πŸ“
Updated Practice Location May 25, 2023

Registered at 205 FRANKFORT ST STE 8, VERSAILLES, KY 403831023 (Tel: 8592427846)

πŸ“
Updated Practice Location March 06, 2023

Registered at 210 CARDINAL AVE, VERSAILLES, KY 403831114 (Tel: 8596189950)

πŸ“
Updated Business Mailing Address March 06, 2023

Registered at 210 CARDINAL AVE, VERSAILLES, KY 403831114 (Tel: 8596189950)

πŸ‘€
Provider Name / Credentials Updated March 06, 2023

Recorded as HEATHER JACKSON, LPCC, LCADC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Counselor (license number reported to NPPES: KY 169029)

βœ…
NPI Profile Active June 02, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 02, 2016

Registered at 123 WEDDINGTON BRANCH RD, PIKEVILLE, KY 415013204 (Tel: 6064379500)

πŸ“
Business Mailing Address (Initial Record) June 02, 2016

Registered at 123 WEDDINGTON BRANCH RD, PIKEVILLE, KY 415013204 (Tel: 6064379500)

πŸ‘€
Provider Name / Credentials (Initial Record) June 02, 2016

Recorded as HEATHER JACKSON, LPCA, CADC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2016

Counselor (license number reported to NPPES: KY 166726)

🟒
Initial NPI Registration & Enumeration December 04, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679948491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2015
Last Update: January 09, 2024
Sole Proprietor: No

Mailing Address

Po Box 1080

Burkesville, KY 427171080

Phone: 2708586655

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.