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KEVIN D. JACKSON
NPI 1982376943
Peer Specialist in Yellow Springs, OH

Active since September 29, 2021
502 S HIGH ST APT D, YELLOW SPRINGS, OH 45387(937) 287-5353 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kevin D. Jackson NPPES

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

KEVIN D. JACKSON (NPI 1982376943) is an individual peer specialist in Yellow Springs, Ohio, licensed in Ohio (0002724) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1982376943
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEVIN D. JACKSON
Location Address502 S HIGH ST APT DYellow Springs, OH 45387-1565
Mailing AddressPo Box 751Yellow Springs, OH 45387-0751 · (937) 287-5353
Phone(937) 287-5353
Sole ProprietorYes
Enumeration DateSeptember 29, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1982376943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · 0002724
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
502 S HIGH ST APT D, Yellow Springs, OH 45387
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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 Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1982376943. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Kevin Jackson located?

Kevin Jackson practices at 502 S High St Apt D, Yellow Springs, OH 45387. The listed phone number is (937) 287-5353.

What is Kevin Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kevin Jackson was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.