JACKSON COMPREHENSION TREATMENT CENTER
NPI 1003757675
Counselor - Addiction (Substance Use Disorder) in Jackson, MS
NPI Status: Active since April 06, 2026
Contact Information
1935 LAKELAND DR STE 900
JACKSON, MS
ZIP 39216
Phone: (601) 718-2468
- Organization
- Counselor
- Addiction (Substance Use Disorder)
- CLIA Number: 25D2129737
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 04-24-2027
About JACKSON COMPREHENSION TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Jackson Comprehension Treatment Center, a provider established in Jackson, Mississippi operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1003757675 assigned on April 2026. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an organization and their NPI record was last updated April 2026. Jackson Comprehension Treatment Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Derrick Dewayner Davis Msw (3c)
- NPI
- 1003757675
- Provider Name
- JACKSON COMPREHENSION TREATMENT CENTER
- Entity Type
- Organization
- Location Address
- 1935 LAKELAND DR STE 900 JACKSON, MS 39216
- Location Phone
- (601) 718-2468
- Mailing Address
- 3333 W NORTHSIDE DR LOT 17 CLINTON, MS 39056
- Mailing Phone
- (601) 926-0569
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2026
- Last Update Date
- 04-06-2026
- Code Navigator
A Substance Abuse or Addiction Counselor like Jackson Comprehension Treatment Center advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2129737
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- April 25, 2025
- Certificate Expiration Date
- April 24, 2027
- Laboratory Director
- DR. WILLIAM JOHNSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jackson Comprehension Treatment Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003757675, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003757675, enumerated as an "organization" on April 06, 2026.
The provider is located at 1935 LAKELAND DR STE 900 JACKSON, MS 39216 and the phone number is (601) 718-2468.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
