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

Q: What is Jackson Behavioral Health Professionals, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since November 19, 2006

1013 MASTER ST, CORBIN, KY 40701(606) 526-9500(606) 526-8080 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Jackson Behavioral Health Professionals, Pllc NPPES

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

JACKSON BEHAVIORAL HEALTH PROFESSIONALS, PLLC (NPI 1336213784) is a healthcare organization registered as an addiction (substance use disorder) in Corbin, Kentucky and active in the NPI registry since November 2006. The organization lists William Matt Ellison, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1336213784

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameJACKSON BEHAVIORAL HEALTH PROFESSIONALS, PLLC

Location Address1013 MASTER STCorbin, KY 40701-1065

Mailing AddressPo Box 2343London, KY 40743-2343 · (606) 526-9500 · Fax (606) 526-8080

Phone(606) 526-9500

Fax(606) 526-8080

Organization SubpartNo

Authorized OfficialWilliam Matt EllisonProprietor · (606) 526-9500

Enumeration DateNovember 19, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1336213784 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

License✔ Licensed in KY · KY0480

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License KY1625 (KY)

1013 MASTER ST, Corbin, KY 40701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORBIN RURAL HEALTH CENTER PLLC

Clinic/Center (Rural Health)