IndividualActive
Jasen Jackson
NPI 1063615789 · Counselor · Louisville, KY
Jasen Jackson is a Counselor provider in Louisville, KY (NPI 1063615789).
Provider details
- NPI number
- 1063615789
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2225 W Broadway
Louisville, KY 40211-1003
Phone: (502) 589-1100
Fax: (502) 589-8771
Street-level locationGet directions
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jasen Jackson's NPI number?
- Jasen Jackson's National Provider Identifier (NPI) is 1063615789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jasen Jackson's specialty?
- Jasen Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jasen Jackson located?
- Jasen Jackson's practice location on file with NPPES is 2225 W Broadway, Louisville, KY 40211-1003.
- What is Jasen Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jasen Jackson is (502) 589-1100.
- Is Jasen Jackson's NPI active?
- Yes — Jasen Jackson's NPI (1063615789) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.