What is Evan Jackson's NPI number?

Evan Jackson's National Provider Identifier (NPI) is 1902290497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Evan Jackson's specialty?

Evan Jackson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).

Where is Evan Jackson located?

Evan Jackson's practice location on file with NPPES is 1101 N Vandemark Rd, Sidney, OH 45365-3567.

What is Evan Jackson's phone number?

The practice phone number listed in the NPPES registry for Evan Jackson is (937) 492-8080.

Is Evan Jackson's NPI active?

Yes — Evan Jackson's NPI (1902290497) is active in the NPPES registry as of the last update on 2015-03-24.

IndividualActive

Evan Jackson, PC-CR

NPI 1902290497 · Professional Counselor · Sidney, OH

Evan Jackson, PC-CR is a Professional Counselor provider in Sidney, OH (NPI 1902290497).

Provider details

NPI number: 1902290497
Entity type: Individual
Primary specialty: Professional CounselorBehavioral Health & Social Service Providers
Credential: PC-CR
Sex: Male
Sole proprietor: No
License: C09000163 (OH)

Specialties & taxonomies

Professional CounselorPrimary101YP2500XLicense C09000163 (OH)
Behavioral Health & Social Service Providers

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 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

1101 N Vandemark Rd

Sidney, OH 45365-3567

Phone: (937) 492-8080

Street-level locationGet directions

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Mailing address