Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LARISSA M. JACKSON LADC
NPI 1700490059
Counselor - Addiction (Substance Use Disorder) in Omaha, NE

Q: What is Larissa Jackson's NPI number?

The NPI number for Larissa Jackson is 1700490059. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Q: What is Larissa Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Jackson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since September 03, 2020

3516 MADISON ST, OMAHA, NE 68107(402) 510-0668 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, Sep 3, 2020 (2 updates tracked since 2020).

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About Larissa M. Jackson Ladc NPPES

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

LARISSA M. JACKSON LADC (NPI 1700490059) is an individual addiction (substance use disorder) provider in Omaha, Nebraska, licensed in Nebraska (1681) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1700490059

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameLARISSA M. JACKSONCredential: LADC

Location Address3516 MADISON STOmaha, NE 68107-3950

Mailing Address3516 Madison StOmaha, NE 68107-3950 · (402) 510-0668

Phone(402) 510-0668

Sole ProprietorYes

Enumeration DateSeptember 3, 2020

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1700490059 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

Licenses✔ Licensed in NE · 1681✔ Licensed in NE · P-1781

3516 MADISON ST, Omaha, NE 68107

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Larissa Jackson's NPI number?

The NPI number for Larissa Jackson is 1700490059. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Larissa Jackson located?

Larissa Jackson practices at 3516 Madison St, Omaha, NE 68107. The listed phone number is (402) 510-0668.

What is Larissa 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 Larissa Jackson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.