Kenneth Lee Jackson Jr, LSW; LCDC III - Counselor in Columbus, OH

Kenneth Lee Jackson Jr, LSW; LCDC III is a Counselor - Mental Health based in Columbus, Ohio. Kenneth Lee Jackson Jr is licensed to practice in Ohio (license number S.1700069) and his current practice location is 1430 S High St Fl 4, Columbus, Ohio. He can be reached at his office (for appointments etc.) via phone at (614) 445-8131.

NPI number for Kenneth Lee Jackson Jr is 1003328550 and his current mailing address is 1430 S High St Fl 4, Columbus, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003328550.

Contact Information

Kenneth Lee Jackson Jr, LSW; LCDC III
1430 S High St Fl 4,
Columbus, OH 43207-1045
(614) 445-8131
(614) 643-6820

Healthcare Provider's Profile

Full NameKenneth Lee Jackson Jr
GenderMale
SpecialityCounselor - Mental Health
Location1430 S High St Fl 4, Columbus, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003328550
  • Provider Enumeration Date: 10/24/2017
  • Last Update Date: 10/24/2017

Medical Identifiers

Medical identifiers for Kenneth Lee Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003328550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health S.1700069 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Lee Jackson Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Lee Jackson Jr, LSW; LCDC III
1430 S High St Fl 4,
Columbus, OH 43207-1045

Ph: (614) 445-8131
Kenneth Lee Jackson Jr, LSW; LCDC III
1430 S High St Fl 4,
Columbus, OH 43207-1045

Ph: (614) 445-8131

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› Verified 9 days ago


Counselor in Columbus, OH

Mr. Daryush Parvinbenam, PCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 287 W Johnstown Rd, Columbus, OH 43230
Phone: 614-305-5102    Fax: 614-383-7786
Molly Marie Fields,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1115 Bethel Rd, Columbus, OH 43220
Phone: 614-459-9022    Fax: 614-451-3017
Mr. Lucas Alan Hawkins,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215
Phone: 614-938-0350    Fax: 614-938-0170
Ms. Katherine Anne Risinger, LPCC-S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215
Phone: 614-355-8550    Fax: 614-355-8593
Tracie Lynn Keller, LPCC-S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1080 Fishinger Rd, Suite 103, Columbus, OH 43221
Phone: 614-822-7819    Fax: 614-372-5590
Jennifer R Williams, PCC-S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1301 N High St, Columbus, OH 43201
Phone: 614-227-6865    Fax: 614-227-6873
Heather Russo,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215
Phone: 614-355-8695    Fax: 614-355-7855

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