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● Active Type 1 · Individual

Mr. Adayis Marshay Jackson SR., L.C.D.C

Addiction (Substance Use Disorder) (Counselor)·Austin, TX· NPI 1003264086 · Enumerated 2016 · 10 years on NPI
Jackson is 1 of 155 addiction (substance use disorder) (counselor) providers in Austin and 1 of 2,679 in Texas.
NPI age
10 years
Enumerated 2016-05-31
Primary specialty
Addiction (Substance Use Disorder) (Counselor)
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-05-31
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2679 active addiction (substance use disorder) (counselor) providers in Texas.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2016 → 2016

2016-05Enumerated in NPPES
2016 2016

Where they practice

Practice location
8711 Burnet Rd Ste. A-3
Austin, TX 787577043
📞 5122570066fax 5124590499
Mailing address
8711 Burnet Rd Ste. A-3
Austin, TX 78757
📞 5122570066fax 5124590499

Specialties

  • Counselor Primary
    CMS NPPES uses NUCC taxonomy code 101YA0400X for provider records classified as Addiction (Substance Use Disorder) within Counselor. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services...
    TX license #12026 taxonomy 101YA0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new addiction (substance use disorder) (counselor) provider has been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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