Kenneth Jackson, MASTERS
NPI 1639469026 · Addiction (Substance Use Disorder) Counselor · Warren, MI
Kenneth Jackson, MASTERS is a Addiction (Substance Use Disorder) Counselor provider in Warren, MI (NPI 1639469026).
Provider details
- NPI number
- 1639469026
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MASTERS
- Sex
- Male
- Sole proprietor
- Yes
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
15 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
Mailing address
Registry dates
- Enumerated
- 2011-04-19
- Last updated
- 2011-04-19
Frequently asked questions
- What is Kenneth Jackson's NPI number?
- Kenneth Jackson's National Provider Identifier (NPI) is 1639469026, 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 25506 Virginia Dr, Warren, MI 48091-6002.
- What is Kenneth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jackson is (313) 492-5119.
- Is Kenneth Jackson's NPI active?
- Yes — Kenneth Jackson's NPI (1639469026) is active in the NPPES registry as of the last update on 2011-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.