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CALVIN JACKSON LPA
NPI 1649226549
Counselor - Mental Health in Elizabethtown, KY

Active since May 25, 2006
1311 N DIXIE HWY, ELIZABETHTOWN, KY 42701(270) 769-1304(270) 234-8028 Get Directions Write a Review

NPPES record last updated: March 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Calvin Jackson Lpa NPPES

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

CALVIN JACKSON LPA (NPI 1649226549) is an individual mental health provider in Elizabethtown, Kentucky, licensed in Kentucky (0274) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1649226549
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCALVIN JACKSONCredential: LPA
Location Address1311 N DIXIE HWYElizabethtown, KY 42701-2621
Mailing Address107 Cranes Roost CtElizabethtown, KY 42701-3650 · (270) 765-2605 · Fax (270) 766-1222
Phone(270) 769-1304
Fax(270) 234-8028
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 29, 2008
✔ NPI 1649226549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in KY · 0274
1311 N DIXIE HWY, Elizabethtown, KY 42701
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Other Identifiers 2

Medicaid30605018KS
Other000000338946KY · Anthem

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.

SUSIE WALKER BYRD
Counselor
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701
Hardin County (270) 769-1304
SUSAN L CRIDER
Counselor
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701
Hardin County (270) 769-1304
JESSICA M COOPER LCSW
Social Worker (Clinical)
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701
Hardin County (270) 769-1304
DR. SARAH GUNNING JANES PSY.D.
Psychologist (Clinical)
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701
Hardin County (270) 769-1304
AYANA S TYLER
Counselor
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
DEBRA ANN OWENS LCSW
Social Worker (Clinical)
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
GREGORY ALAN MARCUM
Counselor (Mental Health)
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701
Hardin County (270) 769-1304
LANCE R HEFFER PSYD
Psychologist (Clinical)
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701
Hardin County (270) 769-1304

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 Calvin Jackson's NPI number?

The NPI number for Calvin Jackson is 1649226549. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Calvin Jackson located?

Calvin Jackson practices at 1311 N Dixie Hwy, Elizabethtown, KY 42701. The listed phone number is (270) 769-1304.

What is Calvin Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Calvin Jackson was last updated on March 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.