JOHN MARK JACKSON
NPI 1235779166
Counselor - Addiction (Substance Use Disorder) in Pueblo, CO

Active since January 08, 2020
3470 BALTIMORE AVE, PUEBLO, CO 81008(719) 545-1181 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Mark Jackson NPPES

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

JOHN MARK JACKSON (NPI 1235779166) is an individual addiction (substance use disorder) provider in Pueblo, Colorado and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1235779166
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN MARK JACKSON
Location Address3470 BALTIMORE AVEPueblo, CO 81008-1520
Mailing Address208 Circle Dr WCanon City, CO 81212-2439
Sole ProprietorYes
Enumeration DateJanuary 8, 2020
NPI 1235779166 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
3470 BALTIMORE AVE, Pueblo, CO 81008

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.

Counselor (Addiction (Substance Use Disorder))
3470 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3470 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3470 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3470 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3470 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3470 BALTIMORE AVE
PUEBLO, CO 81008
Counselor (Addiction (Substance Use Disorder))
3470 BALTIMORE AVE
PUEBLO, CO 81008
Substance Abuse Rehabilitation Facility
3470 BALTIMORE AVE
PUEBLO, CO 81008

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 John Jackson's NPI number?

The NPI number for John Jackson is 1235779166. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is John Jackson located?

John Jackson practices at 3470 Baltimore Ave, Pueblo, CO 81008. The listed phone number is (719) 545-1181.

What is John 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 John Jackson was last updated on January 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.