Mr. Nyles Antony Jackson
MSW, APSW, SAC-IT | Addiction (Substance Use Disorder) Counselor | 16+ years Exp
4109 67th St, Kenosha
Wisconsin, 53142-3836
262-652-9830 262-652-2931
Maps & DirectionsMr. Nyles Antony Jackson is a Kenosha, Wisconsin based counselor with 16 years of experience in Addiction (Substance Use Disorder) Counselor. He completed his graduation from Other in 2009. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mr. Nyles Antony Jackson is 128033-121 for Social Worker in Wisconsin. His current practice location is 4109 67th St, Kenosha. Patients can book an appointment with him at 262-652-9830.
Mr. Nyles Antony Jackson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mr. Nyles Antony Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Nyles Antony Jackson |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | MSW, APSW, SAC-IT |
| Experience: | 16+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 4109 67th St, Kenosha,
Wisconsin, 53142-3836 |
| Phone: | 262-652-9830 |
| Fax: | 262-652-2931 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7810204708 |
| Enrollment ID: | I20150909001658 |
| NPI Number: | 1053637629 |
| NPI Enumeration Date: | 07 Apr, 2010 |
| NPI Last Update On: | 07 Apr, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Nyles Antony Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 128033-121 | Social Worker | Wisconsin | Primary | |
| 15877-130 | Addiction (Substance Use Disorder) Counselor | Wisconsin | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Nyles Antony Jackson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oakwood Clinical Associates, Ltd (8022084383) | 3 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4109 67th St,
Kenosha, Wisconsin |
| Zip: | 53142-3836 |
| Phone Number: | 262-652-9830 |
| Fax Number: | 262-652-2931 |
Patients can reach Mr. Nyles Antony Jackson at
4109 67th St, Kenosha, Wisconsin or can
call to book an appointment on 262-652-9830.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.