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KEITH JACKSON JR.
NPI 1023720422
Case Manager/Care Coordinator in Columbus, OH

Active since December 16, 2022
874 STUDER AVE, COLUMBUS, OH 43206(614) 704-3100 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2023, Dec 16, 2022 (2 updates tracked since 2022).

About Keith Jackson Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH JACKSON JR. (NPI 1023720422) is an individual case manager/care coordinator provider in Columbus, Ohio and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1023720422
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameKEITH JACKSON JR.
Location Address874 STUDER AVEColumbus, OH 43206-1633
Mailing Address1426 Lockbourne RdColumbus, OH 43206-3243 · (614) 704-3100
Phone(614) 704-3100
Sole ProprietorYes
Enumeration DateDecember 16, 2022
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1023720422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedDriverTaxonomy 172A00000X · License RR895494 (OH)
874 STUDER AVE, Columbus, OH 43206
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNAE MARCIA JACKSON
Home Health Aide
874 STUDER AVE
COLUMBUS, OH 43206
Franklin County (614) 517-3005
HOWARD ROYAL ACADEMY
Community/Behavioral Health
874 STUDER AVE
COLUMBUS, OH 43206
Franklin County (757) 504-2214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Jackson's NPI number?

The NPI number for Keith Jackson is 1023720422. It was assigned to this individual provider in the NPPES registry on December 16, 2022.

Where is Keith Jackson located?

Keith Jackson practices at 874 Studer Ave, Columbus, OH 43206. The listed phone number is (614) 704-3100.

What is Keith Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Keith Jackson was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.