Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICHAEL LEONARD JACKSON PHD, LPCC, CRC, CESP
NPI 1104731124
Counselor in Windsor, CO

Q: What is Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1104731124. It was assigned to this individual provider in the NPPES registry on August 14, 2026.

Q: What is Michael Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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 August 14, 2026

5939 AMERIFAX DR, WINDSOR, CO 80528(414) 232-3728 Get Directions Write a Review

NPPES record added: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael Leonard Jackson Phd, Lpcc, Crc, Cesp NPPES

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

MICHAEL LEONARD JACKSON PHD, LPCC, CRC, CESP (NPI 1104731124) is an individual counselor in Windsor, Colorado, licensed in Colorado (LPCC.0025257) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1104731124

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMICHAEL LEONARD JACKSONCredential: PHD, LPCC, CRC, CESP

Location Address5939 AMERIFAX DRWindsor, CO 80528-9123

Mailing Address5939 Amerifax DrWindsor, CO 80528-9123 · (414) 232-3728

Phone(414) 232-3728

Sole ProprietorYes

Enumeration DateAugust 14, 2026

NPPES CertifiedAugust 14, 2026

✔ NPI 1104731124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in CO · LPCC.0025257

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5939 AMERIFAX DR, Windsor, CO 80528

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1104731124. It was assigned to this individual provider in the NPPES registry on August 14, 2026.

Where is Michael Jackson located?

Michael Jackson practices at 5939 Amerifax Dr, Windsor, CO 80528. The listed phone number is (414) 232-3728.

What is Michael Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.