1. Home
  2. Directory
  3. Illinois
  4. Belleville
  5. Counselor
  6. NPI Profile

MR. JOSEPH RAY JACKSON M.A.
NPI 1689011983
Counselor - Addiction (Substance Use Disorder) in Belleville, IL

Active since May 28, 2013
12 N 64TH ST, BELLEVILLE, IL 62223(618) 397-0900 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Joseph Ray Jackson M.a. NPPES

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

MR. JOSEPH RAY JACKSON M.A. (NPI 1689011983) is an individual addiction (substance use disorder) provider in Belleville, Illinois and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1689011983
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JOSEPH RAY JACKSONCredential: M.A.
Location Address12 N 64TH STBelleville, IL 62223-3809
Mailing Address12 N 64th StBelleville, IL 62223-3809 · (618) 397-0900
Phone(618) 397-0900
Sole ProprietorNo
Enumeration DateMay 28, 2013
✔ NPI 1689011983 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
12 N 64TH ST, Belleville, IL 62223
Open in Google Maps ↗

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.

ARLINDA LOUISE JONES-ABEKASIS LCPC
Counselor
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-0900
KELSEY STOTT
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (888) 924-3786
COURTNEY ANNE CANNES LCPC
Counselor (Professional)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-9530
MRS. MELANIE ANN WYLIE RN MSN CNS APN
Registered Nurse (Psychiatric/Mental Health, Adult)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-7145
MR. CHARLES JOSEPH FRANKE III L.C.S.W.
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-0900
RACHEL LEANN HODGE MSW
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420
REBECCA LYNN CHOATE LPC
Counselor (Mental Health)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420
AMY CYRUS ANP-BC
Nurse Practitioner (Family)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420

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 Joseph Jackson's NPI number?

The NPI number for Joseph Jackson is 1689011983. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Joseph Jackson located?

Joseph Jackson practices at 12 N 64th St, Belleville, IL 62223. The listed phone number is (618) 397-0900.

What is Joseph 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 Joseph Jackson was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.