JACKSON WILSON
NPI 1790555811
Counselor - Mental Health in Pataskala, OH
About Jackson Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON WILSON (NPI 1790555811) is an individual mental health provider in Pataskala, Ohio and active in the NPI registry since January 2024.
NPPES Registry Identity
Specialties & Licenses
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 Jackson Wilson's NPI number?
The NPI number for Jackson Wilson is 1790555811. It was assigned to this individual provider in the NPPES registry on January 9, 2024.
Where is Jackson Wilson located?
Jackson Wilson practices at 82 Kelly Marie Dr, Pataskala, OH 43062. The listed phone number is (614) 315-9437.
What is Jackson Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Jackson Wilson was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jackson Wilson · NPI 1790555811
Mental Health provider in Pataskala, Ohio. Individual provider, active in the CMS NPPES registry since January 9, 2024.
## Identity
- **NPI:** 1790555811 (Entity type: Individual)
- **Enumerated:** January 9, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 82 KELLY MARIE DR, Pataskala, OH 43062-8182
- **Phone:** (614) 315-9437
## Record status
- **NPPES last updated:** January 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790555811) · Data from the CMS NPPES public registry.