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MR. ULYSSES D JACKSON III
NPI 1942835467
Counselor - Addiction (Substance Use Disorder) in Wadsworth, OH

Active since March 04, 2020
205 WADSWORTH RD, WADSWORTH, OH 44281(234) 217-8882 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ulysses D Jackson Iii NPPES

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

MR. ULYSSES D JACKSON III (NPI 1942835467) is an individual addiction (substance use disorder) provider in Wadsworth, Ohio and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1942835467
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ULYSSES D JACKSON III
Location Address205 WADSWORTH RDWadsworth, OH 44281-9580
Mailing Address205 Wadsworth RdWadsworth, OH 44281-9580 · (330) 564-5445
Phone(234) 217-8882
Sole ProprietorNo
Enumeration DateMarch 4, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedMarch 4, 2020
✔ NPI 1942835467 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
205 WADSWORTH RD, Wadsworth, OH 44281
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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.

KYLE PETRUZZI
Case Manager/Care Coordinator
205 WADSWORTH RD
WADSWORTH, OH 44281
Medina County (234) 217-8882
GARLAND NELSON
Case Manager/Care Coordinator
205 WADSWORTH RD
WADSWORTH, OH 44281
Medina County (234) 217-8882
KENNETH WILLIAM PURDY
Case Manager/Care Coordinator
205 WADSWORTH RD
WADSWORTH, OH 44281
Medina County (234) 217-8902
MATTHEW ALLEN WILSON
Case Manager/Care Coordinator
205 WADSWORTH RD
WADSWORTH, OH 44281
Medina County (234) 217-8882
MRS. SHARI NICOLE MOORE CPRS
Case Manager/Care Coordinator
205 WADSWORTH RD
WADSWORTH, OH 44281
Medina County (234) 217-8882
AUDRIANA SMITH
Case Manager/Care Coordinator
205 WADSWORTH RD
WADSWORTH, OH 44281
Medina County (234) 217-8882
DENISE PRINCE
Counselor
205 WADSWORTH RD
WADSWORTH, OH 44281
Medina County (330) 481-3276
MELISSA JEAN KATANIC
Counselor
205 WADSWORTH RD
WADSWORTH, OH 44281
Medina County (234) 217-8882

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 Ulysses Jackson's NPI number?

The NPI number for Ulysses Jackson is 1942835467. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Ulysses Jackson located?

Ulysses Jackson practices at 205 Wadsworth Rd, Wadsworth, OH 44281. The listed phone number is (234) 217-8882.

What is Ulysses 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 Ulysses Jackson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.