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JEFFREY VAN JACKSON II
NPI 1396672945
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since May 07, 2026
3121 W BROAD ST, COLUMBUS, OH 43204(614) 869-2002(614) 792-6240 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Van Jackson Ii NPPES

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

JEFFREY VAN JACKSON II (NPI 1396672945) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (CDCA.195931) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1396672945
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEFFREY VAN JACKSON II
Location Address3121 W BROAD STColumbus, OH 43204-1306
Mailing Address3121 W Broad StColumbus, OH 43204-1306 · (614) 607-0769 · Fax (614) 792-6240
Phone(614) 869-2002
Fax(614) 792-6240
Sole ProprietorYes
Enumeration DateMay 7, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1396672945 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
License✔ Licensed in OH · CDCA.195931
3121 W BROAD ST, Columbus, OH 43204
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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.

MR. BRYANT CURRY CDCA
Counselor (Addiction (Substance Use Disorder))
3121 W BROAD ST
COLUMBUS, OH 43204
Franklin County (614) 869-2002
TONYA MANN
Counselor (Addiction (Substance Use Disorder))
3121 W BROAD ST
COLUMBUS, OH 43204
Franklin County (614) 869-2002
MR. AUGUSTINE CHEA
Counselor
3121 W BROAD ST
COLUMBUS, OH 43204
Franklin County (614) 869-2002
MR. STEVE J SMITH CDCA
Counselor (Addiction (Substance Use Disorder))
3121 W BROAD ST
COLUMBUS, OH 43204
Franklin County (614) 869-2002
JOSHUA P BACHOR
Peer Specialist
3121 W BROAD ST
COLUMBUS, OH 43204
Franklin County (614) 869-2002
PATRICK NICHOLAS MORGAN
Counselor (Addiction (Substance Use Disorder))
3121 W BROAD ST
COLUMBUS, OH 43204
Franklin County (614) 869-2002
BRITTANY ANNE RITTGERS
Licensed Practical Nurse
3121 W BROAD ST
COLUMBUS, OH 43204
Franklin County (614) 869-2002
CHRISTOPHER G NICHOLS PRS
Peer Specialist
3121 W BROAD ST
COLUMBUS, OH 43204
Franklin County (614) 869-2002

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 Jeffrey Jackson's NPI number?

The NPI number for Jeffrey Jackson is 1396672945. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Where is Jeffrey Jackson located?

Jeffrey Jackson practices at 3121 W Broad St, Columbus, OH 43204. The listed phone number is (614) 869-2002.

What is Jeffrey 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 Jeffrey Jackson was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.