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MR. JACKIE JEROME JOHNSON SR. LCDC-I
NPI 1982114344
Counselor - Addiction (Substance Use Disorder) in Lubbock, TX

Active since October 11, 2017
1715 26TH ST, LUBBOCK, TX 79411(806) 780-8300(806) 780-8383 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jackie Jerome Johnson Sr. Lcdc-i NPPES

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

MR. JACKIE JEROME JOHNSON SR. LCDC-I (NPI 1982114344) is an individual addiction (substance use disorder) provider in Lubbock, Texas and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1982114344
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JACKIE JEROME JOHNSON SR.Credential: LCDC-I
Location Address1715 26TH STLubbock, TX 79411-1524
Mailing Address1715 26th StLubbock, TX 79411-1524 · (806) 780-8300 · Fax (806) 780-8383
Phone(806) 780-8300
Fax(806) 780-8383
Sole ProprietorNo
Enumeration DateOctober 11, 2017
✔ NPI 1982114344 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
1715 26TH ST, Lubbock, TX 79411
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Other Providers at the Same Location NPPES 11

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

MS. CHRIS LAINE CHAPMAN LCDCI
Counselor (Addiction (Substance Use Disorder))
1715 26TH ST
LUBBOCK, TX 79411
Lubbock County (806) 780-8300
MISS JUSTINE ALEENA VAUGHN LCDC-I
Counselor (Addiction (Substance Use Disorder))
1715 26TH ST
LUBBOCK, TX 79411
Lubbock County (806) 780-8300
MR. WADE JAMES BAGLEY LCDCI
Counselor (Addiction (Substance Use Disorder))
1715 26TH ST
LUBBOCK, TX 79411
Lubbock County (806) 780-8300
MS. LASHONDA NICOLE BLACK LCDC-I
Counselor (Addiction (Substance Use Disorder))
1715 26TH ST
LUBBOCK, TX 79411
Lubbock County (806) 780-8300
MS. DAWN MICHELLE TOUSIGNANT LCDC-I
Counselor (Addiction (Substance Use Disorder))
1715 26TH ST
LUBBOCK, TX 79411
Lubbock County (806) 780-8300
MS. KARA MIA FALKINBURG LCDC
Counselor (Addiction (Substance Use Disorder))
1715 26TH ST
LUBBOCK, TX 79411
Lubbock County (806) 780-8300
MRS. BEVERLY DELL MONTGOMERY LCDC-I
Counselor (Addiction (Substance Use Disorder))
1715 26TH ST
LUBBOCK, TX 79411
Lubbock County (806) 780-8300
MRS. TAMMY FAYE RODRIGUEZ LCDC-I
Counselor (Addiction (Substance Use Disorder))
1715 26TH ST
LUBBOCK, TX 79411
Lubbock County (806) 780-8300

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 Johnson's NPI number?

The NPI number for Jackie Johnson is 1982114344. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Jackie Johnson located?

Jackie Johnson practices at 1715 26th St, Lubbock, TX 79411. The listed phone number is (806) 780-8300.

What is Jackie Johnson'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 Johnson was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.