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ALVIN GLEN JACKSON LPC
NPI 1861915852
Counselor - Mental Health in Columbus, OH

Active since July 21, 2017
495 EAST MAIN STREET, COLUMBUS, OH 43215(614) 355-8055 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2019, Apr 16, 2018, Jul 21, 2017 (3 updates tracked since 2017).

About Alvin Glen Jackson Lpc NPPES

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

ALVIN GLEN JACKSON LPC (NPI 1861915852) is an individual mental health provider in Columbus, Ohio, licensed in Ohio (C.1700707) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1861915852
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameALVIN GLEN JACKSONCredential: LPC
Location Address495 EAST MAIN STREETColumbus, OH 43215
Mailing AddressPo Box 78000 Dept 7816125Detroit, MI 48278-1625 · (614) 355-8004 · Fax (614) 722-4565
Phone(614) 355-8055
Sole ProprietorNo
Enumeration DateJuly 21, 2017
Last NPPES UpdateNovember 19, 20193 updates tracked since enumeration
✔ NPI 1861915852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.1700707
495 EAST MAIN STREET, Columbus, OH 43215
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Other Identifiers 1

Medicaid1473276OH

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 Alvin Jackson's NPI number?

The NPI number for Alvin Jackson is 1861915852. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Alvin Jackson located?

Alvin Jackson practices at 495 East Main Street, Columbus, OH 43215. The listed phone number is (614) 355-8055.

What is Alvin Jackson'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 Alvin Jackson was last updated on November 19, 2019. 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.