Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amie Kathleen Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679053821

Amie Kathleen Jackson is a Nurse Practitioner in Piqua, Ohio. Qualified in 2018, 8 years ago. Practices with Comprehensive Rehab Consultants PLLC, a 250-clinician group, works from 12 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

1130 Garbry Rd
Piqua, OH 45356-8217
Phone: (513) 941-4999
Fax: (513) 694-0168
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (11)

  • 7075 Industrial Rd Ste A, Florence, KY 41042-3053 — (513) 941-4999
  • 680 Northland Blvd, Cincinnati, OH 45240-3248 — (513) 941-4999
  • 1718 Central Pkwy, Cincinnati, OH 45214-2355 — (513) 941-4999
  • 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 — (513) 941-4999
  • 100 Highview Blvd, Columbus, OH 43207-6023 — (513) 941-4999
  • 1435 Cincinnati St, Dayton, OH 45417-4614 — (513) 941-4999
  • 160 N Breiel Blvd, Middletown, OH 45042-3806 — (513) 941-4999
  • 25 Whitney Dr Ste 122, Milford, OH 45150-8400 — (513) 941-4999
  • 1907 11th St, Portsmouth, OH 45662-4531 — (513) 941-4999
  • 1421 Parker Ct, Springfield, OH 45504-2855 — (513) 941-4999
  • 247 Cic Blvd, West Union, OH 45693-7512 — (513) 941-4999

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.023408 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.176328 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.179912 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.376287 (OH)

Record details

NPI number1679053821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Comprehensive Rehab Consultants Pllc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Piqua