MR. JUSTIN ALBERT JACKSON CPRS
NPI 1639812282
Counselor - Addiction (Substance Use Disorder) in Paterson, NJ

Active since April 20, 2022
393 MAIN ST, PATERSON, NJ 07501(973) 523-6220 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Justin Albert Jackson Cprs NPPES

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

MR. JUSTIN ALBERT JACKSON CPRS (NPI 1639812282) is an individual addiction (substance use disorder) provider in Paterson, New Jersey, licensed in New Jersey (CPRS-50177) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1639812282
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JUSTIN ALBERT JACKSONCredential: CPRS
Location Address393 MAIN STPaterson, NJ 07501-2815
Mailing Address99 Market St Apt 3Paterson, NJ 07505-1235 · (973) 390-7089
Sole ProprietorNo
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
NPI 1639812282 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 NJ · CPRS-50177
393 MAIN ST, Paterson, NJ 07501

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Adult Health)
393 MAIN ST
PATERSON, NJ 07501
Nurse Practitioner (Adult Health)
393 MAIN ST
PATERSON, NJ 07501
Substance Abuse Rehabilitation Facility
393 MAIN ST
PATERSON, NJ 07501
Internal Medicine
393 MAIN ST, EVA'S VILLAGE
PATERSON, NJ 07501
Substance Abuse Rehabilitation Facility
393 MAIN ST
PATERSON, NJ 07501

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 Justin Jackson's NPI number?

The NPI number for Justin Jackson is 1639812282. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Justin Jackson located?

Justin Jackson practices at 393 Main St, Paterson, NJ 07501. The listed phone number is (973) 523-6220.

What is Justin 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 Justin Jackson was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.