Amani Ayisha Jackson
Professional Counselor · Fairbanks, AK
Amani Ayisha Jackson is a professional counselor with a practice address in Fairbanks, Alaska, and NPI 1639742158, issued on Jul 22, 2021. Check the license (Alaska 222527, as entered in NPPES) with the Alaska board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Amani Ayisha Jackson
- Primary taxonomy
- Professional Counselor 101YP2500X
- License number
- 222527 AK
Self-reported in NPPES; status is on the state search - Practice location
- 1825 Marika RD, Fairbanks, AK 99709
- Phone
- (907) 474-0890
- Enumerated
- Jul 22, 2021
- Record last updated
- May 9, 2024
- Medicare enrollment
- Enrolled (PECOS I20241009001050); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 575 in Alaska → Look up another NPI →
Also registered at 1825 Marika RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Benjamin AdamsonCounselor1962835421
- William AmbergCase Manager/Care Coordinator1518237155
- Orolmaa AnandCounselor1245591379
- Marie Anderson, LPCProfessional Counselor1477058972
- Virginia AsburyCommunity Health Worker1205517109
- Christine BaldezCommunity Health Worker1326317249
Verify Amani Ayisha Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Alaska board licenses this profession
Search for license 222527Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
One hospital affiliation
- Southeast Alaska Regional Health ConsortiumJuneau, AK · Critical Access Hospitals3 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Amani Ayisha Jackson among 575 professional counselor records in Alaska
Amani Ayisha Jackson is one of 575 professional counselor records with a practice address in Alaska. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 85% of them.
- NPI issued2021 · 85% of these records are older, 11% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Graduated2019 · median 2013 among the 110 with a school on file
- Record last updated2024 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Alaska practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
60 professional counselor records list a practice address in Fairbanks
They are 60 of the 3,202 NPPES records with a practice address in Fairbanks, and 575 professional counselor records in Alaska.
All 575 in Alaska → Every provider in Fairbanks → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- Robin Baise, LPCFairbanks, AK 997091033455837
- Adiella Callahan, MEDFairbanks, AK 997091306390448
- Mardell Dickinson, LPCFairbanks, AK 997091689757429
- Rose Elbert, LPCFairbanks, AK 997091518239490
- Olivia Foote, LPCFairbanks, AK 997091992248223
- Amanda Forsting, LPCFairbanks, AK 997091568853661
- Karin Gillis, M.ED., LPCFairbanks, AK 997091174546519
- Lawrence Gooding, M.S. & PH.D.Fairbanks, AK 997091639244114
Common questions
What is Amani Ayisha Jackson's NPI number?
Amani Ayisha Jackson's National Provider Identifier (NPI) is 1639742158, issued on Jul 22, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Amani Ayisha Jackson located?
The NPPES record lists a practice address at 1825 Marika RD, Fairbanks, AK, 99709. Phone: (907) 474-0890. Providers update this record themselves, so call before visiting.
How can I verify Amani Ayisha Jackson's license?
NPPES lists Alaska license number 222527, as entered by the provider. Search the Alaska board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.