KENNETH LEE JACKSON JR. LSW; LCDC III
NPI 1003328550
Counselor - Mental Health in Columbus, OH

Q: What is Kenneth Jackson's NPI number?

The NPI number for Kenneth Jackson is 1003328550. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Q: What is Kenneth Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Jackson was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2017

1430 S HIGH ST FL 4, COLUMBUS, OH 43207(614) 445-8131(614) 643-6820 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kenneth Lee Jackson Jr. Lsw; Lcdc Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH LEE JACKSON JR. LSW; LCDC III (NPI 1003328550) is an individual mental health provider in Columbus, Ohio, licensed in Ohio (S.1700069) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1003328550

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKENNETH LEE JACKSON JR.Credential: LSW; LCDC III

Location Address1430 S HIGH ST FL 4Columbus, OH 43207-1045

Mailing Address1430 S High St Fl 4Columbus, OH 43207-1045 · (614) 445-8131 · Fax (614) 643-6820

Phone(614) 445-8131

Fax(614) 643-6820

Sole ProprietorYes

Enumeration DateOctober 24, 2017

✔ NPI 1003328550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · S.1700069

1430 S HIGH ST FL 4, Columbus, OH 43207

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA MARIE GOINS L.P.N

Licensed Practical Nurse

1430 S HIGH ST FL 4
COLUMBUS, OH 43207

Franklin County (614) 445-8131

LABRYIA WILLIAMS LPN

Licensed Practical Nurse

1430 S HIGH ST FL 4
COLUMBUS, OH 43207

Franklin County (614) 445-8131

BRUCE THOMAS JONES LSW, LCDC III, NCGC

Social Worker

1430 S HIGH ST FL 4
COLUMBUS, OH 43207

Franklin County (614) 324-5413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Jackson's NPI number?

The NPI number for Kenneth Jackson is 1003328550. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Kenneth Jackson located?

Kenneth Jackson practices at 1430 S High St Fl 4, Columbus, OH 43207. The listed phone number is (614) 445-8131.

What is Kenneth Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Jackson was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.