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KIMBERLY JACKSON
NPI 1780319939
Counselor - Addiction (Substance Use Disorder) in Highland, UT

Active since July 21, 2022
11042 N 5500 W, HIGHLAND, UT 84003(801) 660-0265 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Kimberly Jackson NPPES

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

KIMBERLY JACKSON (NPI 1780319939) is an individual addiction (substance use disorder) provider in Highland, Utah, licensed in Utah (142864226001) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1780319939
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIMBERLY JACKSON
Location Address11042 N 5500 WHighland, UT 84003-9503
Mailing Address11042 N 5500 WHighland, UT 84003-9503 · (801) 660-0265
Phone(801) 660-0265
Sole ProprietorYes
Enumeration DateJuly 21, 2022
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1780319939 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
License✔ Licensed in UT · 142864226001
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 142864223502 (UT)
11042 N 5500 W, Highland, UT 84003
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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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1780319939. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 11042 N 5500 W, Highland, UT 84003. The listed phone number is (801) 660-0265.

What is Kimberly 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 Kimberly Jackson was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.