Jackson Professional Serv LLC
NPI 1922761352 · Addiction (Substance Use Disorder) Counselor · Petersburg, VA
Jackson Professional Serv LLC is a Addiction (Substance Use Disorder) Counselor organization in Petersburg, VA (NPI 1922761352).
Provider details
- NPI number
- 1922761352
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Antoinita Stokes, Consultant(804) 613-0087
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Community Health Worker172V00000X
Other Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
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
Other names (DBA / former)
- Doing business as
- Valecia Jackson
Registry dates
- Enumerated
- 2021-10-21
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Frequently asked questions
- What is Jackson Professional Serv LLC's NPI number?
- Jackson Professional Serv LLC's National Provider Identifier (NPI) is 1922761352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Professional Serv LLC?
- Jackson Professional Serv LLC is classified in the NPPES registry as Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jackson Professional Serv LLC located?
- Jackson Professional Serv LLC's practice location on file with NPPES is 420 Pine Ridge Rd, Petersburg, VA 23805-1320.
- What is Jackson Professional Serv LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Professional Serv LLC is (804) 714-5998.
- Who is the authorized official for Jackson Professional Serv LLC?
- The authorized official listed on Jackson Professional Serv LLC's NPPES record is Antoinita Stokes, Consultant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Professional Serv LLC's NPI active?
- Yes — Jackson Professional Serv LLC's NPI (1922761352) is active in the NPPES registry as of the last update on 2021-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.