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BRANDY JACKSON
NPI 1104772169
Counselor - Addiction (Substance Use Disorder) in Waverly, OH

Active since March 10, 2026
218 E NORTH ST, WAVERLY, OH 45690(740) 947-6727 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandy Jackson NPPES

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

BRANDY JACKSON (NPI 1104772169) is an individual addiction (substance use disorder) provider in Waverly, Ohio and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1104772169
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBRANDY JACKSON
Location Address218 E NORTH STWaverly, OH 45690-1148
Mailing Address218 E North StWaverly, OH 45690-1148 · (740) 947-6727
Phone(740) 947-6727
Sole ProprietorYes
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1104772169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
218 E NORTH ST, Waverly, OH 45690
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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.

KORI OLIVIA RAYANN LAVEY
Counselor (Addiction (Substance Use Disorder))
218 E NORTH ST
WAVERLY, OH 45690
Pike County (740) 947-6727
MAXIE LEIBY
Counselor (Addiction (Substance Use Disorder))
218 E NORTH ST
WAVERLY, OH 45690
Pike County (740) 947-6727
BETHANIE RIFE
Counselor (Addiction (Substance Use Disorder))
218 E NORTH ST
WAVERLY, OH 45690
Pike County (740) 947-6727
KIMRA WINTERS
Counselor (Addiction (Substance Use Disorder))
218 E NORTH ST
WAVERLY, OH 45690
Pike County (740) 947-6727
BRIANNA LEWIS
Counselor (Addiction (Substance Use Disorder))
218 E NORTH ST
WAVERLY, OH 45690
Pike County (740) 947-6727
CARLY CATANZARO PRICE LCDC III
Counselor (Addiction (Substance Use Disorder))
218 E NORTH ST
WAVERLY, OH 45690
Pike County (740) 947-6727
SARAH ALLEN
Counselor (Addiction (Substance Use Disorder))
218 E NORTH ST
WAVERLY, OH 45690
Pike County (740) 947-6727
DONOVAN TODD THOMAS
Counselor (Addiction (Substance Use Disorder))
218 E NORTH ST
WAVERLY, OH 45690
Pike County (740) 947-6727

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 Brandy Jackson's NPI number?

The NPI number for Brandy Jackson is 1104772169. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Brandy Jackson located?

Brandy Jackson practices at 218 E North St, Waverly, OH 45690. The listed phone number is (740) 947-6727.

What is Brandy 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 Brandy Jackson was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.