Antoine Jackson, MA, LPCC
NPI 1174278048 · Mental Health Counselor · Roseville, MN
Antoine Jackson, MA, LPCC is a Mental Health Counselor provider in Roseville, MN (NPI 1174278048).
Provider details
- NPI number
- 1174278048
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPCC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3145 (MN)
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
4 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
- 2022-02-18
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Frequently asked questions
- What is Antoine Jackson's NPI number?
- Antoine Jackson's National Provider Identifier (NPI) is 1174278048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Antoine Jackson's specialty?
- Antoine Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Antoine Jackson located?
- Antoine Jackson's practice location on file with NPPES is 2335 Woodbridge St Apt 338, Roseville, MN 55113-4763.
- What is Antoine Jackson's phone number?
- The practice phone number listed in the NPPES registry for Antoine Jackson is (612) 715-4071.
- Is Antoine Jackson's NPI active?
- Yes — Antoine Jackson's NPI (1174278048) is active in the NPPES registry as of the last update on 2024-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.