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JACKIE LYNN KUPPER MS, CRC, LCAS, LPCA
NPI 1164724415
Counselor - Addiction (Substance Use Disorder) in Greenville, NC

Active since November 18, 2010
150 E ARLINGTON BLVD SUITE E., GREENVILLE, NC 27858(252) 321-1568 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Lynn Kupper Ms, Crc, Lcas, Lpca NPPES

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

JACKIE LYNN KUPPER MS, CRC, LCAS, LPCA (NPI 1164724415) is an individual addiction (substance use disorder) provider in Greenville, North Carolina, licensed in North Carolina (1581) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1164724415
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE LYNN KUPPERCredential: MS, CRC, LCAS, LPCA
Location Address150 E ARLINGTON BLVD SUITE E.Greenville, NC 27858-5019
Mailing Address2705 Carlisle CourtGreenville, NC 27858-5536 · (252) 560-3740
Phone(252) 321-1568
Sole ProprietorNo
Enumeration DateNovember 18, 2010
Last NPPES UpdateJune 13, 2012
✔ NPI 1164724415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 1581
Also ListedCounselorTaxonomy 101Y00000X · License 00111147 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A8786 (NC)
150 E ARLINGTON BLVD SUITE E., Greenville, NC 27858
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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 Jackie Kupper's NPI number?

The NPI number for Jackie Kupper is 1164724415. It was assigned to this individual provider in the NPPES registry on November 18, 2010.

Where is Jackie Kupper located?

Jackie Kupper practices at 150 E Arlington Blvd Suite E., Greenville, NC 27858. The listed phone number is (252) 321-1568.

What is Jackie Kupper'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 Jackie Kupper was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.