Antionette Jackson
Antionette Jackson is a Mental Health Counselor in Crawfordville, FL, registered under NPI 1649864885. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 110 MELALEUCA DR, Crawfordville, FL 32327. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 8820515992
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Georgia | I20250512003038 | Practitioner - Mental Health Counselor |
| Texas | I20250514001188 | Practitioner - Mental Health Counselor |
| Florida | I20250620002569 | Practitioner - Mental Health Counselor |
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. There are 3 separate enrolment records across 3 states (GA, TX, FL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor Mental Health | — | — | primary |
| 101Y00000X | Counselor | — | — | |
| 101YP2500X | Professional Counselor Professional | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1649864885 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 1, 2021 |
| Last updated | Mar 1, 2021 |
| Status | Active |
| Sole proprietor | No |
| Practice address |
110 MELALEUCA DR Crawfordville, FL 32327 (850) 617-9167 |
| Mailing address |
350 N CHARLES WILLIS DR Midway, FL 32343 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 4 | 9 | 8 | 6 | 4 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 8 | 9 | 7 | 6 | 8 | 8 | 7 |
Sum = 85 · next multiple of 10 = 90 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.