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JAMES JACKSON
NPI 1104511542
Peer Specialist in Buckhannon, WV

Active since April 11, 2023
34 N KANAWHA ST, BUCKHANNON, WV 26201(304) 473-5600 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Jackson NPPES

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

JAMES JACKSON (NPI 1104511542) is an individual peer specialist in Buckhannon, West Virginia and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1104511542
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJAMES JACKSON
Location Address34 N KANAWHA STBuckhannon, WV 26201-2714
Mailing Address34 N Kanawha StBuckhannon, WV 26201-2714 · (304) 473-5600
Phone(304) 473-5600
Sole ProprietorNo
Enumeration DateApril 11, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1104511542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
34 N KANAWHA ST, Buckhannon, WV 26201
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Other Providers at the Same Location NPPES 20

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

KATINA LYNN WESTFALL LGSW
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 619-1517
JEDIDIAH DAVIDSON MALLOW
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-2250
ANGELA LYNN BENEDUM
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
COURTNEY HENTHORNE
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
COMMUNITY CARE OF WEST VIRGINIA, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 924-6262
SHAWNA COGAR LGSW
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
PATRICK STARKEY
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
LEAH MULLENS
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600

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 James Jackson's NPI number?

The NPI number for James Jackson is 1104511542. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is James Jackson located?

James Jackson practices at 34 N Kanawha St, Buckhannon, WV 26201. The listed phone number is (304) 473-5600.

What is James Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for James Jackson was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.