ANTWOINE JACKSON
NPI 1922328855
Counselor in Shepherdsville, KY

Active since June 02, 2010
130 S JOE B HALL AVE, SHEPHERDSVILLE, KY 40165(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Antwoine Jackson NPPES

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

ANTWOINE JACKSON (NPI 1922328855) is an individual counselor in Shepherdsville, Kentucky and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1922328855
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameANTWOINE JACKSON
Location Address130 S JOE B HALL AVEShepherdsville, KY 40165-0690
Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Fax(502) 589-8771
Sole ProprietorNo
Enumeration DateJune 2, 2010
Last NPPES UpdateJune 9, 2011
NPI 1922328855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
130 S JOE B HALL AVE, Shepherdsville, KY 40165

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.

Counselor (Mental Health)
130 S JOE B HALL AVE
SHEPHERDSVILLE, KY 40165
Counselor (Addiction (Substance Use Disorder))
130 S JOE B HALL AVE
LOUISVILLE, KY 40165
Social Worker (Clinical)
130 S JOE B HALL AVE
SHEPHERDSVILLE, KY 40165
Social Worker (Clinical)
130 S JOE B HALL AVE
SHEPHERDSVILLE, KY 40165
Social Worker (Clinical)
130 S JOE B HALL AVE
SHEPHERDSVILLE, KY 40165
Nurse Practitioner (Psychiatric/Mental Health)
130 S JOE B HALL AVE
SHEPHERDSVILLE, KY 40165
Counselor (Professional)
130 S JOE B HALL AVE
SHEPHERDSVILLE, KY 40165
Counselor
130 S JOE B HALL AVE
SHEPHERDSVILLE, KY 40165

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 Antwoine Jackson's NPI number?

The NPI number for Antwoine Jackson is 1922328855. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Antwoine Jackson located?

Antwoine Jackson practices at 130 S Joe B Hall Ave, Shepherdsville, KY 40165. The listed phone number is (502) 589-8600.

What is Antwoine Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Antwoine Jackson was last updated on June 9, 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.