ROGER DALE JACKSON (MA) – Mental Health Counselor, NPI 1366957342

ROGER DALE JACKSON (MA) is a healthcare provider. based in Lake station, Indiana. specializing in Mental Health Counselor. They hold the professional credentials MA. The NPI Number for ROGER DALE JACKSON (MA) is 1366957342

Main info

Male
Name
ROGER DALE JACKSON (MA)
NPI
1366957342
Phone
(219) 743-6579
Address
3021 E 36TH AVE
Enumeration Date
12 December 2017
Last Update Date
11 October 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for ROGER DALE JACKSON (MA)

  • 3021, East 36th Avenue, Liverpool, Lake Station, Lake County, Indiana, 46405, United States

    LAKE STATION, IN 464052966

    Phone: (219) 743-6579

    Type: Mailing

  • 8200, Georgia Street, Chapel Manor, Merrillville, Lake County, Indiana, 46410, United States

    MERRILLVILLE, IN 464106227

    Phone: (219) 791-1400

    Fax: (219) 791-1422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46405)

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Reviews

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Frequently asked questions

What identifier follows ROGER DALE JACKSON (MA) across health systems?
The NPI 1366957342 uniquely identifies ROGER DALE JACKSON (MA) in U.S. healthcare data.
Does the public listing show ROGER DALE JACKSON (MA) as active?
ROGER DALE JACKSON (MA)'s NPI record reflects an active status in NPPES.
Which specialty label fits ROGER DALE JACKSON (MA)?
NPPES ties ROGER DALE JACKSON (MA) to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ROGER DALE JACKSON (MA) tied to Lake Station, Indiana?
If you are local to Lake Station, Indiana, ROGER DALE JACKSON (MA) may be relevant to your search.
Can I export ROGER DALE JACKSON (MA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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