Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Erica Jackson

Individual provider Case Manager/Care Coordinator · NPI 1558916577

Erica Jackson is a Mental Health Counselor in Louisville, Kentucky. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

451 Baxter Ave Ste 201
Louisville, KY 40204-1177
Phone: (502) 383-2969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 296888 (KY)
Case Manager/Care Coordinator Taxonomy 171M00000X
Driver Taxonomy 172A00000X

Record details

NPI number1558916577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2019
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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