MR. DEREK LUTHER JACKSON B.S.
NPI 1356859326
Counselor - Addiction (Substance Use Disorder) in Hayti, MO

Q: What is Derek Jackson's NPI number?

The NPI number for Derek Jackson is 1356859326. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Q: What is Derek Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Jackson was last updated on January 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 12, 2018

581 HIGHWAY J NORTH, HAYTI, MO 63851(573) 359-2600 Get Directions Write a Review

NPPES record last updated: January 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Derek Luther Jackson B.s. NPPES

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

MR. DEREK LUTHER JACKSON B.S. (NPI 1356859326) is an individual addiction (substance use disorder) provider in Hayti, Missouri and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1356859326

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. DEREK LUTHER JACKSONCredential: B.S.

Location Address581 HIGHWAY J NORTHHayti, MO 63851

Mailing Address581 Highway J NorthHayti, MO 63851 · (573) 359-2600

Phone(573) 359-2600

Sole ProprietorNo

Enumeration DateJanuary 12, 2018

✔ NPI 1356859326 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

581 HIGHWAY J NORTH, Hayti, MO 63851

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Other Providers at the Same Location NPPES 2

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

KASWANA WARE

Case Manager/Care Coordinator

581 HIGHWAY J NORTH
HAYTI, MO 63851

Pemiscot County (573) 359-2600

LESA AVIS

Case Manager/Care Coordinator

581 HIGHWAY J NORTH
HAYTI, MO 63851

Pemiscot County (573) 359-2600

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 Derek Jackson's NPI number?

The NPI number for Derek Jackson is 1356859326. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Where is Derek Jackson located?

Derek Jackson practices at 581 Highway J North, Hayti, MO 63851. The listed phone number is (573) 359-2600.

What is Derek 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 Derek Jackson was last updated on January 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.