1. Home
  2. Directory
  3. Ohio
  4. Shaker Heights
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

RAYMOND JACKSON
NPI 1154048213
Student in an Organized Health Care Education/Training Program in Shaker Heights, OH

Active since October 20, 2022
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118(216) 932-2800(216) 932-6704 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Sep 3, 2025, Oct 20, 2022 (3 updates tracked since 2022).

About Raymond Jackson NPPES

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

RAYMOND JACKSON (NPI 1154048213) is an individual student in an organized health care education/training program in Shaker Heights, Ohio, licensed in Ohio (C.2507148-TRNE) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1154048213
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAYMOND JACKSON
Location Address22001 FAIRMOUNT BLVDShaker Heights, OH 44118-4819
Mailing Address22001 Fairmount BlvdShaker Heights, OH 44118-4819 · (216) 932-2800 · Fax (216) 932-6704
Phone(216) 932-2800
Fax(216) 932-6704
Sole ProprietorYes
Enumeration DateOctober 20, 2022
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1154048213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OH · C.2507148-TRNE
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22001 FAIRMOUNT BLVD, Shaker Heights, OH 44118
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

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

MRS. LAURA LEE MCCLURE R.N.
Registered Nurse
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Cuyahoga County (216) 320-8240
STEPHANIE SAVA LPCC-S
Counselor (Mental Health)
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Cuyahoga County (216) 932-2800
MRS. KERRY KATZ LISW-S
Social Worker (Clinical)
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Cuyahoga County (216) 320-8458
KAYLA GELB SWT
Social Worker
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Cuyahoga County (216) 932-2800
HANNAH CLASEN
Counselor
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Cuyahoga County (216) 932-2800
BENNETTA KAY BRADFORD
Case Manager/Care Coordinator
22001 FAIRMOUNT BLVD
SHAKER HTS, OH 44118
Cuyahoga County (216) 932-2800
KAYLA KADE
Counselor (Professional)
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Cuyahoga County (216) 932-2800
JOHN TYLER TAGGART QMHS
Case Manager/Care Coordinator
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Cuyahoga County (216) 932-2800

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 Raymond Jackson's NPI number?

The NPI number for Raymond Jackson is 1154048213. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Raymond Jackson located?

Raymond Jackson practices at 22001 Fairmount Blvd, Shaker Heights, OH 44118. The listed phone number is (216) 932-2800.

What is Raymond Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Raymond Jackson accept?

Health plans from CareSource list Raymond Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raymond Jackson was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.