EARLY LEE JACKSON
NPI 1427627744
Counselor - Addiction (Substance Use Disorder) in Euclid, OH

Active since June 21, 2021
22639 EUCLID AVE, EUCLID, OH 44117(216) 404-1900 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Early Lee Jackson NPPES

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

EARLY LEE JACKSON (NPI 1427627744) is an individual addiction (substance use disorder) provider in Euclid, Ohio, licensed in Ohio (175805) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1427627744
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEARLY LEE JACKSON
Location Address22639 EUCLID AVEEuclid, OH 44117-1622
Mailing Address6137 Edward St Apt 202Norfolk, VA 23513-1575 · (610) 226-7670
Sole ProprietorNo
Enumeration DateJune 21, 2021
NPPES CertifiedJune 21, 2021
NPI 1427627744 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 · 175805
22639 EUCLID AVE, Euclid, OH 44117

Other Identifiers 1

Medicaid175805OH

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.

Counselor (Professional)
22639 EUCLID AVE
EUCLID, OH 44117
Student in an Organized Health Care Education/Training Program
22639 EUCLID AVE
EUCLID, OH 44117
Case Manager/Care Coordinator
22639 EUCLID AVE
EUCLID, OH 44117
Counselor
22639 EUCLID AVE
EUCLID, OH 44117
Counselor
22639 EUCLID AVE
EUCLID, OH 44117
Counselor (Addiction (Substance Use Disorder))
22639 EUCLID AVE
EUCLID, OH 44117
Counselor
22639 EUCLID AVE
EUCLID, OH 44117
Student in an Organized Health Care Education/Training Program
22639 EUCLID AVE
EUCLID, OH 44117

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 Early Jackson's NPI number?

The NPI number for Early Jackson is 1427627744. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Early Jackson located?

Early Jackson practices at 22639 Euclid Ave, Euclid, OH 44117. The listed phone number is (216) 404-1900.

What is Early 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 Early Jackson was last updated on June 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.