JONATHAN JACKSON
NPI 1164713467
Clinic/Center - Mental Health (Including Community Mental Health Center) in Paducah, KY

Active since April 21, 2011
425 BROADWAY ST, PADUCAH, KY 42001(270) 444-3620 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Jackson NPPES

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

JONATHAN JACKSON (NPI 1164713467) is an individual mental health (including community mental health center) provider in Paducah, Kentucky and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1164713467
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameJONATHAN JACKSON
Location Address425 BROADWAY STPaducah, KY 42001-0713
Mailing Address425 Broadway StPaducah, KY 42001-0713
Sole ProprietorYes
Enumeration DateApril 21, 2011
NPI 1164713467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
425 BROADWAY ST, Paducah, KY 42001

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Social Worker
425 BROADWAY ST, SUITE 203
PADUCAH, KY 42001
Social Worker
425 BROADWAY ST
PADUCAH, KY 42001
Counselor (Mental Health)
425 BROADWAY ST
PADUCAH, KY 42001
Psychiatry & Neurology (Child & Adolescent Psychiatry)
425 BROADWAY ST
PADUCAH, KY 42001
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Social Worker
425 BROADWAY ST
PADUCAH, KY 42001
Peer Specialist
425 BROADWAY ST
PADUCAH, KY 42001

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 Jonathan Jackson's NPI number?

The NPI number for Jonathan Jackson is 1164713467. It was assigned to this individual provider in the NPPES registry on April 21, 2011.

Where is Jonathan Jackson located?

Jonathan Jackson practices at 425 Broadway St, Paducah, KY 42001. The listed phone number is (270) 444-3620.

What is Jonathan Jackson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jonathan Jackson was last updated on April 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.