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

Active since September 03, 2020
8502 MORMON BRIDGE RD, OMAHA, NE 68152(402) 455-8303 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Larissa M. Jackson Pladc NPPES

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

LARISSA M. JACKSON PLADC (NPI 1700490059) is an individual addiction (substance use disorder) provider in Omaha, Nebraska, licensed in Nebraska (P-1781) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1700490059
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLARISSA M. JACKSONCredential: PLADC
Location Address8502 MORMON BRIDGE RDOmaha, NE 68152-1929
Mailing Address3327 N 163rd Plz Apt 304Omaha, NE 68116-2149 · (402) 510-0668
Phone(402) 455-8303
Sole ProprietorNo
Enumeration DateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ 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
License✔ Licensed in NE · P-1781
8502 MORMON BRIDGE RD, Omaha, NE 68152
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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.

MONICA L BLIZEK LIMHP, CMSW, LADC
Counselor (Addiction (Substance Use Disorder))
8502 MORMON BRIDGE RD
OMAHA, NE 68152
Douglas County (402) 991-8509
WYLESHA L BATTH MS, PLMHP
Counselor (Mental Health)
8502 MORMON BRIDGE RD
OMAHA, NE 68152
Douglas County (402) 991-8521
ANTHONY RAYMOND BROWN LADC
Counselor (Addiction (Substance Use Disorder))
8502 MORMON BRIDGE RD
OMAHA, NE 68152
Douglas County (402) 991-8558
CORINNE JAE MILLER RN
Registered Nurse
8502 MORMON BRIDGE RD
OMAHA, NE 68152
Douglas County (402) 455-8303
JEWEL A DOHERTY RN
Registered Nurse
8502 MORMON BRIDGE RD
OMAHA, NE 68152
Douglas County (402) 991-8523
JESSICA BRUCE PLMHP
Counselor (Mental Health)
8502 MORMON BRIDGE RD
OMAHA, NE 68152
Douglas County (402) 991-8543
COOPER VILLAGE
Psychiatric Residential Treatment Facility
8502 MORMON BRIDGE RD
OMAHA, NE 68152
Douglas County (402) 457-1398
NOVA TREATMENT COMMUNITY, INC.
Community/Behavioral Health
8502 MORMON BRIDGE RD
OMAHA, NE 68152
Douglas County (402) 455-8303

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 8502 Mormon Bridge Rd, Omaha, NE 68152. The listed phone number is (402) 455-8303.

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 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.