PATRICK DIOR JACKSON
NPI 1871141457
Counselor - School in Louisville, KY

Q: What is Patrick Jackson's NPI number?

The NPI number for Patrick Jackson is 1871141457. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Q: What is Patrick Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Jackson was last updated on August 28, 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.

Active since August 28, 2019

5111 S 3RD ST, LOUISVILLE, KY 40214(502) 690-1511 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Patrick Dior Jackson NPPES

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

PATRICK DIOR JACKSON (NPI 1871141457) is an individual school provider in Louisville, Kentucky, licensed in Kentucky (201114318) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1871141457

Entity TypeIndividualMale

Primary Taxonomy101YS0200X

Provider Legal NamePATRICK DIOR JACKSON

Location Address5111 S 3RD STLouisville, KY 40214-2601

Mailing Address811 Stonebench CirJeffersonvlle, IN 47130-4220 · (812) 557-5365

Phone(502) 690-1511

Sole ProprietorNo

Enumeration DateAugust 28, 2019

✔ NPI 1871141457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers

Taxonomy Code101YS0200X

License✔ Licensed in KY · 201114318

5111 S 3RD ST, Louisville, KY 40214

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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 Patrick Jackson's NPI number?

The NPI number for Patrick Jackson is 1871141457. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Patrick Jackson located?

Patrick Jackson practices at 5111 S 3rd St, Louisville, KY 40214. The listed phone number is (502) 690-1511.

What is Patrick Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Patrick Jackson was last updated on August 28, 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.