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PAUL JACKSON
NPI 1376014555
Peer Specialist in Omaha, NE

Active since December 16, 2018
11550 I ST STE 100, OMAHA, NE 68137(402) 498-4700(402) 493-3340 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Jackson NPPES

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

PAUL JACKSON (NPI 1376014555) is an individual peer specialist in Omaha, Nebraska and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1376014555
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NamePAUL JACKSON
Location Address11550 I ST STE 100Omaha, NE 68137-1222
Mailing Address11550 I St Ste 100Omaha, NE 68137-1222 · (402) 498-4700 · Fax (402) 493-3340
Phone(402) 498-4700
Fax(402) 493-3340
Sole ProprietorNo
Enumeration DateDecember 16, 2018
✔ NPI 1376014555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
11550 I ST STE 100, Omaha, NE 68137
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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.

LAUREN PARKS
Counselor (Mental Health)
11550 I ST STE 100
OMAHA, NE 68137
Douglas County (402) 498-4700
SAMANTHA OYLER
Counselor (Mental Health)
11550 I ST STE 100
OMAHA, NE 68137
Douglas County (402) 498-4700
REBECCA CROOK
Counselor (Mental Health)
11550 I ST STE 100
OMAHA, NE 68137
Douglas County (402) 498-4700
KAITLYN THOMPSON
Counselor (Mental Health)
11550 I ST STE 100
OMAHA, NE 68137
Douglas County (402) 498-4700
JUAN CRUZ CPSS
Peer Specialist
11550 I ST STE 100
OMAHA, NE 68137
Douglas County (402) 616-6060
FANNYE AGUIRRE-PLACKE
Counselor (Mental Health)
11550 I ST STE 100
OMAHA, NE 68137
Douglas County (402) 498-4700
MS. KATHLEEN L MAPES
Counselor (Mental Health)
11550 I ST STE 100
OMAHA, NE 68137
Douglas County (402) 498-4700
ERICA HEINZERLING
Counselor (Mental Health)
11550 I ST STE 100
OMAHA, NE 68137
Douglas County (402) 498-4700

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 Paul Jackson's NPI number?

The NPI number for Paul Jackson is 1376014555. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Paul Jackson located?

Paul Jackson practices at 11550 I St Ste 100, Omaha, NE 68137. The listed phone number is (402) 498-4700.

What is Paul Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Paul Jackson was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.