JACKSON BEHAVIORAL HEALTH PROFESSIONALS, PLLC
NPI 1336213784
Counselor - Addiction (Substance Use Disorder) in Corbin, KY

NPI Status: Active since November 19, 2006

Contact Information

1013 MASTER ST
CORBIN, KY
ZIP 40701
Phone: (606) 526-9500
Fax: (606) 526-8080

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  • Organization
  • Counselor
  • Addiction (Substance Use Disorder)

About JACKSON BEHAVIORAL HEALTH PROFESSIONALS, PLLC

This page provides the complete NPI Profile along with additional information for Jackson Behavioral Health Professionals, Pllc, a provider established in Corbin, Kentucky operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1336213784 assigned on November 2006. The practitioner's primary taxonomy code is 101YA0400X with license number KY0480 (KY). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. William Matt Ellison Lcsw (Proprietor)

NPI
1336213784
Provider Name
JACKSON BEHAVIORAL HEALTH PROFESSIONALS, PLLC
Entity Type
Organization
Location Address
1013 MASTER ST CORBIN, KY 40701
Location Phone
(606) 526-9500
Location Fax
(606) 526-8080
Mailing Address
PO BOX 2343 LONDON, KY 40743
Mailing Phone
(606) 526-9500
Mailing Fax
(606) 526-8080
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2006
Last Update Date
09-11-2025
Code Navigator

A Substance Abuse or Addiction Counselor like Jackson Behavioral Health Professionals, Pllc advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
KY0480
License State
KY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

KY1625 (KY)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM MATT ELLISON LCSW

Authorized Official Title
PROPRIETOR
Authorized Official Phone
(606) 526-9500

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336213784, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 4 + 1 + 6 + 7 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1336213784.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
1013 MASTER ST
CORBIN, KY 40701
Nurse Practitioner (Family)
1013 MASTER ST
CORBIN, KY 40701
Clinic/Center (Rural Health)
1013 MASTER ST
CORBIN, KY 40701
Nurse Practitioner
1013 MASTER ST
CORBIN, KY 40701
Clinic/Center (Rural Health)
1013 MASTER ST
CORBIN, KY 40701
Nurse Practitioner (Psychiatric/Mental Health)
1013 MASTER ST
CORBIN, KY 40701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336213784, enumerated as an "organization" on November 19, 2006.

The provider is located at 1013 MASTER ST CORBIN, KY 40701 and the phone number is (606) 526-9500.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).