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CRYSTAL JACKS
NPI 1669154142
Counselor - Addiction (Substance Use Disorder) in Portsmouth, OH

Active since August 03, 2023
411 COURT ST, PORTSMOUTH, OH 45662(740) 354-6685 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Jacks NPPES

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

CRYSTAL JACKS (NPI 1669154142) is an individual addiction (substance use disorder) provider in Portsmouth, Ohio and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1669154142
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL JACKS
Location Address411 COURT STPortsmouth, OH 45662-3932
Mailing Address411 Court StPortsmouth, OH 45662-3932 · (740) 354-6685 · Fax (740) 876-4005
Phone(740) 354-6685
Sole ProprietorYes
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1669154142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
411 COURT ST, Portsmouth, OH 45662
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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.

HEITH GRAY
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
CHLOE BRASHEAR
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
TYSON COPLEY
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
SETH DIXON CMS
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
SHANNON GILLIAM
Case Manager/Care Coordinator
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
FREEDOM SCOTT
Licensed Practical Nurse
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
ANDREW JENKINS
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
MELISSA KAY FISHER CDCA
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6968

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 Crystal Jacks's NPI number?

The NPI number for Crystal Jacks is 1669154142. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Crystal Jacks located?

Crystal Jacks practices at 411 Court St, Portsmouth, OH 45662. The listed phone number is (740) 354-6685.

What is Crystal Jacks'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 Crystal Jacks was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.