ALBERT JACKSON AODA
NPI 1720421795
Community/Behavioral Health in Milwaukee, WI

Q: What is Albert Jackson's NPI number?

The NPI number for Albert Jackson is 1720421795. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is Albert Jackson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Albert Jackson was last updated on April 9, 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.

Active since April 09, 2013

4001 W CAPITOL DR, MILWAUKEE, WI 53216(414) 810-6691 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Albert Jackson Aoda NPPES

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

ALBERT JACKSON AODA (NPI 1720421795) is an individual community/behavioral health provider in Milwaukee, Wisconsin, licensed in Wisconsin (16862-130) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1720421795

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameALBERT JACKSONCredential: AODA

Location Address4001 W CAPITOL DRMilwaukee, WI 53216-2530

Mailing Address4950 N 21st StreetMilwaukee, WI 53209-5750 · (414) 301-1163

Phone(414) 810-6691

Sole ProprietorYes

Enumeration DateApril 9, 2013

✔ NPI 1720421795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in WI · 16862-130

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 16862-130 (WI)

4001 W CAPITOL DR, Milwaukee, WI 53216

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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.

MATTHEW LEE VELISSARIS

Counselor