Carmellia Kay Jackson, CSW, MFT-ASSOCIATE
NPI 1073383402ActiveIndividual· Marriage & Family Therapist· Somerset, KY
Marriage & Family Therapist (CSW, MFT-ASSOCIATE) in Somerset, Kentucky, licensed in KY, with an NPI issued in January 2024.
Overview
| NPI | 1073383402 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CSW, MFT-ASSOCIATE |
| Sole proprietor | Yes |
| NPI issued | Jan 5, 2024 |
| Last updated in NPPES | Jan 5, 2024 |
| Certified by provider | Jan 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 276506 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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