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Mr. Kenneth Alan Jackson, BS, LADC

Addiction (Substance Use Disorder) Counselor in Minneapolis, MN · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891085783

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Registry record

Entity type Individual (Type 1)
Name Mr. Kenneth Alan Jackson
Credential BS, LADC
Sex Male
Practice address 3329 University Ave Se, Minneapolis, MN, 55414
Phone (612) 454-2285
Fax (612) 454-2340
Enumeration date Apr 12, 2011
Last updated in NPPES Apr 12, 2011

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 302997 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kenneth Jackson practice?
The practice location on file with NPPES is in Minneapolis, MN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kenneth Jackson?
The National Provider Identifier (NPI) for Kenneth Jackson is 1891085783, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-12.