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MR. KENNETH ALAN JACKSON BS, LADC
NPI 1891085783
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since April 12, 2011
3329 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 454-2285(612) 454-2340 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Alan Jackson Bs, Ladc NPPES

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

MR. KENNETH ALAN JACKSON BS, LADC (NPI 1891085783) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (302997) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1891085783
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KENNETH ALAN JACKSONCredential: BS, LADC
Location Address3329 UNIVERSITY AVE SEMinneapolis, MN 55414-3325
Mailing Address3329 University Ave SeMinneapolis, MN 55414-3325 · (612) 454-2285 · Fax (612) 454-2340
Phone(612) 454-2285
Fax(612) 454-2340
Sole ProprietorNo
Enumeration DateApril 12, 2011
✔ NPI 1891085783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302997
3329 UNIVERSITY AVE SE, Minneapolis, MN 55414
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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.

ALLIANCE CLINIC
Counselor (Addiction (Substance Use Disorder))
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 454-2260
VERONICA STAKE
Counselor (Addiction (Substance Use Disorder))
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 454-2291
MS. NINA CAROLE JUNIUS BCC,LADC
Counselor (Addiction (Substance Use Disorder))
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 454-2260
PAKOU CHANG
Counselor (Addiction (Substance Use Disorder))
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (651) 454-2295
MR. OLALEKAN PATRICK OBADIYA NP
Nurse Practitioner
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 454-2260
MRS. MARLENE ANN THOMSETH-BELCHER BS,LADC,CPP
Counselor (Addiction (Substance Use Disorder))
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 454-2263
MERIDIAN BEHAIVORAL HEALTH
Case Management
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 454-2007
DOUGLAS GERLACH
Counselor (Addiction (Substance Use Disorder))
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 454-2281

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 Kenneth Jackson's NPI number?

The NPI number for Kenneth Jackson is 1891085783. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Kenneth Jackson located?

Kenneth Jackson practices at 3329 University Ave SE, Minneapolis, MN 55414. The listed phone number is (612) 454-2285.

What is Kenneth 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 Kenneth Jackson was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.