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MICHAEL ANTHONY JACKSON PSS
NPI 1477201994
Peer Specialist in Louisa, KY

Active since March 14, 2022
125 S MAIN CROSS ST, LOUISA, KY 41230(606) 638-0938 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Anthony Jackson Pss NPPES

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

MICHAEL ANTHONY JACKSON PSS (NPI 1477201994) is an individual peer specialist in Louisa, Kentucky and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1477201994
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMICHAEL ANTHONY JACKSONCredential: PSS
Location Address125 S MAIN CROSS STLouisa, KY 41230-1065
Mailing Address125 S Main Cross StLouisa, KY 41230-1065 · (606) 638-0938
Phone(606) 638-0938
Sole ProprietorYes
Enumeration DateMarch 14, 2022
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1477201994 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.
125 S MAIN CROSS ST, Louisa, KY 41230
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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.

LOIS MICHELLE HUBBARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
CHARLOTTE WILLIAMSON LPCA
Counselor (Professional)
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
JOHN W. RILEY CADC
Counselor (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
RICHARD SKEENS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
SHERRY DIANNE BIBBS JOHNSON RN
Registered Nurse (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 639-0938
KEITH JONES
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
BOBBY LEE HILL PSS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
MELISSA MAYNARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938

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 Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1477201994. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Michael Jackson located?

Michael Jackson practices at 125 S Main Cross St, Louisa, KY 41230. The listed phone number is (606) 638-0938.

What is Michael 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 Michael Jackson was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.