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MEDINA JACKSON
NPI 1457790727
Counselor in Morehead, KY

Active since June 20, 2013
321 E MAIN ST, MOREHEAD, KY 40351(606) 784-4161(606) 783-9952 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medina Jackson NPPES

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

MEDINA JACKSON (NPI 1457790727) is an individual counselor in Morehead, Kentucky and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1457790727
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMEDINA JACKSON
Location Address321 E MAIN STMorehead, KY 40351-1671
Mailing AddressPo Box 790Ashland, KY 41105-0790 · (606) 329-8588 · Fax (606) 329-8195
Phone(606) 784-4161
Fax(606) 783-9952
Sole ProprietorNo
Enumeration DateJune 20, 2013
Last NPPES UpdateNovember 7, 2014
✔ NPI 1457790727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
321 E MAIN ST, Morehead, KY 40351
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Other Identifiers 1

Medicaid30610026KY

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.

AMY PIERCY
Psychologist
321 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 329-8588
DAVIKA JON KUPER MATTOX APRN
Nurse Practitioner (Psychiatric/Mental Health)
321 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 784-4161
MARK D SPARKMAN P.A.
Psychologist
321 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 784-4161
MARIE LEMASTER
Registered Nurse
321 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 784-4161
TAMMY ROYCE
Peer Specialist
321 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 784-4161
DRU PRATER
Community Health Worker
321 E MAIN ST
MOREHEAD, KY 40351
Rowan County (866) 233-1955
STEPHEN CRAIL
Counselor
321 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 784-4161
ASHLEY CONN
Counselor
321 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 329-8588

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 Medina Jackson's NPI number?

The NPI number for Medina Jackson is 1457790727. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Medina Jackson located?

Medina Jackson practices at 321 E Main St, Morehead, KY 40351. The listed phone number is (606) 784-4161.

What is Medina Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Medina Jackson was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.