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TERRIE JACKSON CDCA / PEER SUPPORT
NPI 1134700677
Peer Specialist in Cleveland, OH

Active since April 16, 2021
2800 RIVERSIDE AVE, CLEVELAND, OH 44109(216) 246-7081 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Terrie Jackson Cdca / Peer Support NPPES

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

TERRIE JACKSON CDCA / PEER SUPPORT (NPI 1134700677) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (0002374) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1134700677
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTERRIE JACKSONCredential: CDCA / PEER SUPPORT
Location Address2800 RIVERSIDE AVECleveland, OH 44109-2324
Mailing Address3719 Denison AveCleveland, OH 44109-2691 · (216) 417-4831
Phone(216) 246-7081
Sole ProprietorNo
Enumeration DateApril 16, 2021
NPPES CertifiedApril 2, 2021
✔ NPI 1134700677 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 · 0002374
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.
2800 RIVERSIDE AVE, Cleveland, OH 44109
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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 Terrie Jackson's NPI number?

The NPI number for Terrie Jackson is 1134700677. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Terrie Jackson located?

Terrie Jackson practices at 2800 Riverside Ave, Cleveland, OH 44109. The listed phone number is (216) 246-7081.

What is Terrie 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 Terrie Jackson was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.