Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA JACKSON
Active Sole ProprietorAMANDA JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in COLUMBUS, Ohio. NPI 1649941576 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · COLUMBUS, OH
Registration Details
- NPI Number
- 1649941576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2021 (4.8880811967666 yrs)
- Last Updated
- Jan 12, 2026
- License
-
CDCA194264 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
815 W BROAD ST STE 200COLUMBUS, OH, 432221465Browse OH providers · Browse ZIP 43222
- Phone
- 6147170822
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in COLUMBUS, OH
| Name | Credential | NPI |
|---|---|---|
| GREGORY M SCHAD | LISW, IIMFT | 1992751184 |
| MR. ROBERT WAYNE BOLIN | CCDC1 | 1427149954 |
| MR. MOHAMAD MOINZADEH | LPCC | 1386736122 |
| MS. BRENDA DAVIDSON | LISW, LICDC | 1942395561 |
| MRS. JENNIFER HAYWOOD | LISW, LICDC | 1225124027 |
| MR. JERRY L WORTHINGTON | L.I.C.D.C., L.S.W. | 1730269358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.