Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427539519 Individual Practitioner Male Practitioner

Joseph Jackson , LCDC II

Counselor • Andover, OH

Professional Overview & Biography Verified Profile Summary

Joseph Jackson, LCDC II is a registered healthcare professional specializing in Counselor in Andover, OH. Practice services are available at 158 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

158 W Main St

Andover, OH 440039318

Telephone 2168008700
Associated Practice Facility / Clinic
🏢 Impact Recovery Services Facility NPI 1306613823

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Andover, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Andover, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH LCDCII.162062

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License OH PRS.007460

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Keith Ward

Case Manager/Care Coordinator

NPI 1497325872
Caitlin Jones

Counselor - Addiction (Substance Use Disorder)

NPI 1497570691
Eric Montgomery

Counselor - Addiction (Substance Use Disorder)

NPI 1578274775
Kristopher Butcher

Counselor - Addiction (Substance Use Disorder)

NPI 1972440873

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 07, 2026

Registered at 158 W MAIN ST, ANDOVER, OH 440039318 (Tel: 2168008700)

📍
Updated Business Mailing Address April 07, 2026

Registered at 158 W MAIN ST, ANDOVER, OH 440039318 (Tel: 2168008700)

👤
Provider Name / Credentials Updated April 07, 2026

Recorded as JOSEPH JACKSON, LCDC II

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2026

Peer Specialist (License #PRS.007460 in OH)

NPI Profile Active August 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2018

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002 (Tel: 3303698022)

📍
Updated Business Mailing Address August 27, 2018

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002

👤
Provider Name / Credentials Updated August 27, 2018

Recorded as JOSEPH JACKSON, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2018

Substance Abuse Rehabilitation Facility (License #167972 in OH)

🟢
Initial NPI Registration & Enumeration August 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427539519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2018
Last Update: April 07, 2026
Sole Proprietor: Yes

Mailing Address

158 W Main St

Andover, OH 440039318

Phone: 2168008700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.