Deactivated NPI 1649602038 Deactivated / Inactive NPI Male Practitioner

Michael D Jackson , PC

Counselor - Professional • Ashland, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 07, 2013

NPI Deactivation Date January 25, 2018

Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

Michael Jackson, PC was a registered Counselor - Professional practicing in Ashland, OH. Throughout an active medical career spanning 5 years, Michael Jackson provided care at the practice location at 744 SANDUSKY ST until profile deactivation on 2018-01-25.

Practice Location & Contact Primary Location

Practice Address

744 Sandusky St

Ashland, OH 448051523

Telephone 4192078408

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ashland, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.5 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

25 Specialists

Practicing in Ashland, OH (6923 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C1000462

Definition to come...

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated January 25, 2018

Record deactivated on January 25, 2018

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NPI Profile Active December 09, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2013

Registered at 744 SANDUSKY ST, ASHLAND, OH 448051523 (Tel: 4192078408)

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Updated Business Mailing Address December 09, 2013

Registered at 744 SANDUSKY ST, ASHLAND, OH 448051523 (Tel: 4192078408)

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Provider Name / Credentials Updated December 09, 2013

Recorded as MICHAEL JACKSON, P.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2013

Counselor (License #C1000462 in OH)

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Initial NPI Registration & Enumeration August 07, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1649602038

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 07, 2013

Last Update: December 09, 2013

Deactivation Date: January 25, 2018

Update or Correct Profile

Mailing Address

744 Sandusky St

Ashland, OH 448051523

Phone: 4192078408

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.