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

Mr. Anthony N. Jackson, MA, LPCC, LCADC

Individual provider Professional Counselor · NPI 1487210399

Mr. Anthony N. Jackson, MA, LPCC, LCADC is a Mental Health Counselor in Alvaton, Kentucky. Qualified in 2022, 4 years ago. Practices with Lake Substance Abuse Solutions LLC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2019
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

6445 E Haven Way
Alvaton, KY 42122
Phone: (502) 509-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1143 Fairway St Ste 103, Bowling Green, KY 42103-2452 — (407) 347-4539

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 297949 (KY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 280595 (KY)

Record details

NPI number1487210399
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPCC , LCADC
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lake Substance Abuse Solutions Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Alvaton