JACKIE HARRISON
NPI 1902295306
Counselor - Addiction (Substance Use Disorder) in Minnetonka, MN

Q: What is Jackie Harrison's NPI number?

The NPI number for Jackie Harrison is 1902295306. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Q: What is Jackie Harrison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Harrison was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 22, 2015

12708 WAYZATA BLVD, SUITE 412, MINNETONKA, MN 55305(763) 443-4562 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackie Harrison NPPES

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

JACKIE HARRISON (NPI 1902295306) is an individual addiction (substance use disorder) provider in Minnetonka, Minnesota, licensed in Minnesota (1796) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1902295306

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJACKIE HARRISON

Location Address12708 WAYZATA BLVD, SUITE 412Minnetonka, MN 55305-1916

Mailing Address12708 Wayzata Blvd, Suite 412Minnetonka, MN 55305-1916 · (763) 443-4562

Phone(763) 443-4562

Sole ProprietorYes

Enumeration DateJanuary 22, 2015

Last NPPES UpdateJuly 23, 2015

✔ NPI 1902295306 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 · 1796

12708 WAYZATA BLVD, Minnetonka, MN 55305

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARING SOULS LLC

Home Health

12708 WAYZATA BLVD
MINNETONKA, MN 55305

Hennepin County (952) 465-7749

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 Jackie Harrison's NPI number?

The NPI number for Jackie Harrison is 1902295306. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Jackie Harrison located?

Jackie Harrison practices at 12708 Wayzata Blvd Suite 412, Minnetonka, MN 55305. The listed phone number is (763) 443-4562.

What is Jackie Harrison'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 Jackie Harrison was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.