Kenneth Jackson, CDCA
NPI 1457857690 · Addiction (Substance Use Disorder) Counselor · Shelby, OH
Kenneth Jackson, CDCA is a Addiction (Substance Use Disorder) Counselor provider in Shelby, OH (NPI 1457857690).
Provider details
- NPI number
- 1457857690
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- No
- License
- 166031 (OH)
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
8 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
- 2018-04-05
- Last updated
- 2018-04-05
Frequently asked questions
- What is Kenneth Jackson's NPI number?
- Kenneth Jackson's National Provider Identifier (NPI) is 1457857690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Jackson's specialty?
- Kenneth Jackson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kenneth Jackson located?
- Kenneth Jackson's practice location on file with NPPES is 2775 State Route 39, Shelby, OH 44875-9466.
- What is Kenneth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jackson is (419) 747-3322.
- Is Kenneth Jackson's NPI active?
- Yes — Kenneth Jackson's NPI (1457857690) is active in the NPPES registry as of the last update on 2018-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.