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KELLY JACKSON
NPI 1023985223
Counselor - Addiction (Substance Use Disorder) in Highland Heights, OH

Active since October 21, 2025
675 ALPHA DR STE G, HIGHLAND HEIGHTS, OH 44143(440) 681-8169 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2026, May 12, 2026, Mar 2, 2026 and 1 more (4 updates tracked since 2025).

About Kelly Jackson NPPES

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

KELLY JACKSON (NPI 1023985223) is an individual addiction (substance use disorder) provider in Highland Heights, Ohio, licensed in Ohio (194356) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1023985223
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY JACKSON
Location Address675 ALPHA DR STE GHighland Heights, OH 44143-2139
Mailing Address675 Alpha Dr Ste GHighland Heights, OH 44143-2139
Phone(440) 681-8169
Sole ProprietorNo
Enumeration DateOctober 21, 2025
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1023985223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 194356
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 003131 (OH)
Also ListedCase ManagementTaxonomy 251B00000X
675 ALPHA DR STE G, Highland Heights, OH 44143
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

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

LATOYA GODFREY
Technician, Pathology (Phlebotomy)
675 ALPHA DR STE G
HIGHLAND HEIGHTS, OH 44143
Cuyahoga County (216) 482-4562
OHIO DEVELOPMENTAL SUPPORTS LLC
Non-emergency Medical Transport (VAN)
675 ALPHA DR STE G
HIGHLAND HEIGHTS, OH 44143
Cuyahoga County (216) 630-8185
HEIDI TOLCHINSKY
Social Worker (Clinical)
675 ALPHA DR STE G
HIGHLAND HTS, OH 44143
Cuyahoga County (216) 801-0723
CARS ESTATES LLC
Home Health
675 ALPHA DR STE G
HIGHLAND HEIGHTS, OH 44143
Cuyahoga County (216) 369-7644
HONEY BEE DOULA SERVICES
Doula
675 ALPHA DR STE G
HIGHLAND HEIGHTS, OH 44143
Cuyahoga County (216) 307-5119
M.E.D. SUPPORTED LIVING, LLC
Non-emergency Medical Transport (VAN)
675 ALPHA DR STE G, SUITE# G
HIGHLAND HTS, OH 44143
Cuyahoga County (216) 220-1885
XPRESS HEALTHCARE ACADEMY LLC
Clinic/Center
675 ALPHA DR STE G
HIGHLAND HEIGHTS, OH 44143
Cuyahoga County (440) 941-5093
WECARE FAMILY HEALTH LLC
Nurse Practitioner (Family)
675 ALPHA DR STE G
HIGHLAND HEIGHTS, OH 44143
Cuyahoga County (216) 645-2478

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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1023985223. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Kelly Jackson located?

Kelly Jackson practices at 675 Alpha Dr Ste G, Highland Heights, OH 44143. The listed phone number is (440) 681-8169.

What is Kelly Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Jackson was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.