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JOHNNIE MAC JACKSON MSW, CSW
NPI 1386094712
Counselor - Addiction (Substance Use Disorder) in Pikeville, KY

Active since June 16, 2016
7160 N MAYO TRL, PIKEVILLE, KY 41501(606) 657-9988 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2022, Jun 16, 2016 (2 updates tracked since 2016).

About Johnnie Mac Jackson Msw, Csw NPPES

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

JOHNNIE MAC JACKSON MSW, CSW (NPI 1386094712) is an individual addiction (substance use disorder) provider in Pikeville, Kentucky, licensed in Kentucky (254558) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1386094712
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHNNIE MAC JACKSONCredential: MSW, CSW
Location Address7160 N MAYO TRLPikeville, KY 41501-3151
Mailing Address7160 N Mayo TrlPikeville, KY 41501-3151 · (606) 657-9988
Phone(606) 657-9988
Sole ProprietorNo
Enumeration DateJune 16, 2016
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1386094712 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 · 254558
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
7160 N MAYO TRL, Pikeville, KY 41501
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Other Providers at the Same Location NPPES 8

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

BRITTANY LEANN SLONE
Case Manager/Care Coordinator
7160 N MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 422-1787
JERENY S TACKETT BA MHA
Case Manager/Care Coordinator
7160 N MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 657-9988
HEATHER MISHELLE MULLINS
Social Worker (Clinical)
7160 N MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 657-9988
JUANITA VICKERS CSW LCSW C-ASWCM
Counselor
7160 N MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 657-9988
JOSEPH CASEBOLT
Case Manager/Care Coordinator
7160 N MAYO TRL
PIKEVILLE, KY 41501
Pike County (066) 579-9886
KAITLYN DEAN JUSTICE
Case Manager/Care Coordinator
7160 N MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 657-9988
KIMBERLY LYNN BAILEY TCM
Social Worker (Clinical)
7160 N MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 657-9988
JULIA RAYEANN UNDERWOOD
Case Manager/Care Coordinator
7160 N MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 657-9988

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 Johnnie Jackson's NPI number?

The NPI number for Johnnie Jackson is 1386094712. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Johnnie Jackson located?

Johnnie Jackson practices at 7160 N Mayo Trl, Pikeville, KY 41501. The listed phone number is (606) 657-9988.

What is Johnnie 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 Johnnie Jackson was last updated on April 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.