ANTONIO D. JACKSON
NPI 1174495717
Case Manager/Care Coordinator in Kent, OH

Q: What is Antonio Jackson's NPI number?

The NPI number for Antonio Jackson is 1174495717. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Antonio Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Antonio Jackson was last updated on September 23, 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.

Active since September 23, 2025

1037 ERIN DR, KENT, OH 44240(330) 245-8049 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Antonio D. Jackson NPPES

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

ANTONIO D. JACKSON (NPI 1174495717) is an individual case manager/care coordinator provider in Kent, Ohio and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1174495717

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameANTONIO D. JACKSON

Location Address1037 ERIN DRKent, OH 44240-2029

Mailing Address1037 Erin DrKent, OH 44240-2029

Phone(330) 245-8049

Sole ProprietorNo

Enumeration DateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1174495717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1037 ERIN DR, Kent, OH 44240

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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 Antonio Jackson's NPI number?

The NPI number for Antonio Jackson is 1174495717. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Antonio Jackson located?

Antonio Jackson practices at 1037 Erin Dr, Kent, OH 44240. The listed phone number is (330) 245-8049.

What is Antonio 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 Antonio Jackson was last updated on September 23, 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.