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MR. DRAEVON EDWARD JACKSON
NPI 1164387072
Counselor - Mental Health in Indianapolis, IN

Active since December 23, 2025
3777 PRIORITY WAY SOUTH DR, INDIANAPOLIS, IN 46240(317) 574-3980 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Draevon Edward Jackson NPPES

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

MR. DRAEVON EDWARD JACKSON (NPI 1164387072) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (99133860A) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1164387072
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DRAEVON EDWARD JACKSON
Location Address3777 PRIORITY WAY SOUTH DRIndianapolis, IN 46240-1491
Mailing Address1927 Monroe StIndianapolis, IN 46229-1921 · (317) 772-2830
Phone(317) 574-3980
Sole ProprietorNo
Enumeration DateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1164387072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 99133860A
3777 PRIORITY WAY SOUTH DR, Indianapolis, IN 46240
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Other Names 1

Other Name (5)Mr. Drae Jackson

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 Draevon Jackson's NPI number?

The NPI number for Draevon Jackson is 1164387072. It was assigned to this individual provider in the NPPES registry on December 23, 2025. The provider is also known as Mr. Drae Jackson.

Where is Draevon Jackson located?

Draevon Jackson practices at 3777 Priority Way South Dr, Indianapolis, IN 46240. The listed phone number is (317) 574-3980.

What is Draevon Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Draevon Jackson was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.