Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Larissa M. Jackson, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700490059

Larissa M. Jackson, LADC is an Addiction (Substance Use Disorder) Counselor in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2020
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

3516 Madison St
Omaha, NE 68107-3950
Phone: (402) 510-0668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1681 (NE)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence P-1781 (NE)

Record details

NPI number1700490059
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorYes
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026

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