EXCLUDEDPROVIDER
Individual Program Crime

Bethena S Jackson

Louisville, KY 40211

Public HHS-OIG LEIE exclusion record

Bethena S Jackson of Louisville, KY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1881930006 with a primary specialty of Counselor, Addiction (Substance Use Disorder). According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Bethena S Jackson is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of August 18, 2022.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Louisville, KY 40211
Exclusion date
August 18, 2022
Exclusion type
Program Crime (1128a1)
NPI
1881930006

Record summary

Bethena S Jackson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Louisville, Kentucky. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is August 18, 2022, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateAugust 18, 2022
Exclusion typeConviction of program-related crimes (1128a1)
NPI1881930006
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Louisville, KY 40211. The listed provider category is Business Owner / Executive. The listed specialty is Substance Abuse Rehabilitation.

NPI Registry context

The LEIE record lists NPI 1881930006. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Counselor, Addiction (Substance Use Disorder) (101YA0400X). Registered practice location: Durham, NC. NPI enumeration date: Dec 15, 2012. NPPES status: Active. The NPI Registry lists credential: CSAC, LCAS-A.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Louisville, KY

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Louisville, KY address.

Ariana Amburgey Southard Individual Revocation
Louisville, KY · License revocation, suspension, or surrender · Excluded May 2026
Deborah Jean Moran Individual Patient Abuse
Louisville, KY · Conviction relating to patient abuse or neglect · Excluded Jan 2026
James Anthony Fisher Individual Revocation
Louisville, KY · License revocation, suspension, or surrender · Excluded Aug 2025
Candice Florence Gonzalez Whitehead Individual Revocation
Louisville, KY · License revocation, suspension, or surrender · Excluded Jul 2025
Heather Lynn Turner Individual Program Crime
Louisville, KY · Conviction of program-related crimes · Excluded Jun 2025
Lawrence Holt Peters Individual Drug Felony
Louisville, KY · Felony conviction relating to controlled substance · Excluded Jun 2025
Sonya Regina Peacock Individual Revocation
Louisville, KY · License revocation, suspension, or surrender · Excluded May 2025
Susan Lynn D'antoni Individual Revocation
Louisville, KY · License revocation, suspension, or surrender · Excluded May 2025

See all 258 excluded providers in Louisville →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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