James L Jackson, MSW,LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1101526 Issued in OH

Practice address

PO Box 13367
Toledo, OH 43613-0367

Phone

(616) 212-9802

NPI assigned

Jun 18, 2013

Last updated

Feb 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

  dba Lima UMADAOP

  • Community Health Clinic/Center
  • Lima, OH
  • NPI 1629144050
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1598104044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13367",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436130367",
            "telephone_number": "616-212-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 13367",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436130367",
            "telephone_number": "616-212-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "MSW,LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "101193",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1101526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICDC",
            "identifier": "101193",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSW",
            "identifier": "1101526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica N Jackson
• Freddie Jackson
• Glendora D. Jackson
• Isaiah Jackson
• Jacqueline Faye Jackson
• Jaron Jackson
• Jeffrey M Jackson, CRNA
• Jennifer M Jackson, A.A.
• Julie Marie Jackson, OT
• Kayleah Jackson

• Mental Health Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.