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

Michael Anthony Jackson, PSS

Individual provider Peer Specialist · NPI 1477201994

Michael Anthony Jackson, PSS is a Peer Specialist in Louisa, Kentucky. Practices as a sole proprietor. Licensed in Kentucky and Ohio.

Licensed in
KY, OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

125 S Main Cross St
Louisa, KY 41230-1065
Phone: (606) 638-0938
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (KY)
Peer Specialist Taxonomy 175T00000X (OH)

Record details

NPI number1477201994
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorYes
NPI enumeratedMarch 14, 2022
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023
Mailing address125 S Main Cross St, Louisa, KY 41230-1065

Other providers in Louisa