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NAOMI JACKSON
NPI 1366229122
Community/Behavioral Health in Cottage Grove, MN

Active since September 13, 2023
7691 62ND ST S, COTTAGE GROVE, MN 55016(651) 447-0398 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Naomi Jackson NPPES

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

NAOMI JACKSON (NPI 1366229122) is an individual community/behavioral health provider in Cottage Grove, Minnesota, licensed in Minnesota (1112024) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1366229122
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameNAOMI JACKSON
Location Address7691 62ND ST SCottage Grove, MN 55016-4676
Mailing Address7691 62nd St SCottage Grove, MN 55016-4676 · (651) 447-0398
Phone(651) 447-0398
Sole ProprietorYes
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1366229122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 1112024
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedFoster Care AgencyTaxonomy 253J00000X · License 1114922 (MN)
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 1112024 (MN)
7691 62ND ST S, Cottage Grove, MN 55016
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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 Naomi Jackson's NPI number?

The NPI number for Naomi Jackson is 1366229122. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Naomi Jackson located?

Naomi Jackson practices at 7691 62nd St S, Cottage Grove, MN 55016. The listed phone number is (651) 447-0398.

What is Naomi Jackson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Naomi Jackson was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.