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

Roger Dale Jackson, MA

Individual provider Mental Health Counselor · NPI 1366957342

Roger Dale Jackson, MA is a Mental Health Counselor in Merrillville, Indiana. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

8200 Georgia St
Merrillville, IN 46410-6227
Phone: (219) 791-1400
Fax: (219) 791-1422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1366957342
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedDecember 12, 2017
Last updated in NPPESOctober 11, 2018
Mailing address3021 E 36th Ave, Lake Station, IN 46405-2966

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