Sandra Jackson, LCAC CADAC IV NADAC
NPI 1124449053 · Addiction (Substance Use Disorder) Counselor · South Bend, IN
Sandra Jackson, LCAC CADAC IV NADAC is a Addiction (Substance Use Disorder) Counselor provider in South Bend, IN (NPI 1124449053).
Provider details
- NPI number
- 1124449053
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCAC CADAC IV NADAC
- Sex
- Female
- Sole proprietor
- No
- License
- 88000353A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2013-12-19
- Last updated
- 2013-12-19
Frequently asked questions
- What is Sandra Jackson's NPI number?
- Sandra Jackson's National Provider Identifier (NPI) is 1124449053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Jackson's specialty?
- Sandra Jackson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Sandra Jackson located?
- Sandra Jackson's practice location on file with NPPES is 4218 Western Ave., South Bend, IN 46619.
- What is Sandra Jackson's phone number?
- The practice phone number listed in the NPPES registry for Sandra Jackson is (574) 233-1524.
- Is Sandra Jackson's NPI active?
- Yes — Sandra Jackson's NPI (1124449053) is active in the NPPES registry as of the last update on 2013-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.