EDNA ELIZABETH JACKSON MA
NPI 1265819213
Counselor - Addiction (Substance Use Disorder) in Saint Louis, MO

Active since April 29, 2015
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103(314) 206-3700 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edna Elizabeth Jackson Ma NPPES

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

EDNA ELIZABETH JACKSON MA (NPI 1265819213) is an individual addiction (substance use disorder) provider in Saint Louis, Missouri and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1265819213
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameEDNA ELIZABETH JACKSONCredential: MA
Location Address1430 OLIVE ST STE 400Saint Louis, MO 63103-2303
Mailing Address1430 Olive St Ste 400Saint Louis, MO 63103-2303 · (314) 206-3700
Sole ProprietorNo
Enumeration DateApril 29, 2015
Last NPPES UpdateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
NPI 1265819213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
1430 OLIVE ST STE 400, Saint Louis, MO 63103

Other Identifiers 1

Other630MO · Cradc

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 (Mental Health)
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103
Social Worker (Clinical)
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103
Counselor (Professional)
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103
Counselor (Mental Health)
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103
Technician, Other
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103
Social Worker (Clinical)
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103
Counselor (Professional)
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103
Case Manager/Care Coordinator
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103

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 Edna Jackson's NPI number?

The NPI number for Edna Jackson is 1265819213. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Edna Jackson located?

Edna Jackson practices at 1430 Olive St Ste 400, Saint Louis, MO 63103. The listed phone number is (314) 206-3700.

What is Edna 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 Edna Jackson was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.