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AUTUMN MARIE JACKSON
NPI 1053042887
Peer Specialist in Logan, OH

Active since June 22, 2022
549 E FRONT ST, LOGAN, OH 43138(740) 407-8697 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Marie Jackson NPPES

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

AUTUMN MARIE JACKSON (NPI 1053042887) is an individual peer specialist in Logan, Ohio, licensed in Ohio (APS.003224) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1053042887
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAUTUMN MARIE JACKSON
Location Address549 E FRONT STLogan, OH 43138-1717
Mailing Address549 E Front StLogan, OH 43138-1717
Phone(740) 407-8697
Sole ProprietorNo
Enumeration DateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1053042887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS.003224
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
549 E FRONT ST, Logan, OH 43138
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Other Providers at the Same Location NPPES 6

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

VETERAN EMS
Ambulance (Land Transport)
549 E FRONT ST
LOGAN, OH 43138
Hocking County (614) 775-0028
MRS. ASHLEY BOOKWALTER LICDC-CS
Counselor (Addiction (Substance Use Disorder))
549 E FRONT ST
LOGAN, OH 43138
Hocking County (740) 407-8697
SUMMIT RECOVERY LLC
Counselor (Addiction (Substance Use Disorder))
549 E FRONT ST
LOGAN, OH 43138
Hocking County (740) 279-9998
ASHLEE ANNE SMITH
Counselor (Addiction (Substance Use Disorder))
549 E FRONT ST
LOGAN, OH 43138
Hocking County (740) 407-8697
KEELY LENAE THOMAS CDCA
Counselor (Addiction (Substance Use Disorder))
549 E FRONT ST
LOGAN, OH 43138
Hocking County (740) 279-9998
JAMIE CARNELL
Counselor (Addiction (Substance Use Disorder))
549 E FRONT ST
LOGAN, OH 43138
Hocking County (740) 407-8697

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 Autumn Jackson's NPI number?

The NPI number for Autumn Jackson is 1053042887. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Autumn Jackson located?

Autumn Jackson practices at 549 E Front St, Logan, OH 43138. The listed phone number is (740) 407-8697.

What is Autumn Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Autumn Jackson was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.