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STEPHANIE JACKSON OCPRS
NPI 1215514120
Peer Specialist in Beachwood, OH

Active since March 26, 2021
25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH 44122(216) 910-9015(216) 910-9015 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Jackson Ocprs NPPES

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

STEPHANIE JACKSON OCPRS (NPI 1215514120) is an individual peer specialist in Beachwood, Ohio, licensed in Ohio (0002256) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1215514120
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSTEPHANIE JACKSONCredential: OCPRS
Location Address25201 CHAGRIN BLVD STE 390Beachwood, OH 44122-5637
Mailing Address8414 Whittington DrParma, OH 44129-3516 · (440) 732-1889
Phone(216) 910-9015
Fax(216) 910-9015
Sole ProprietorYes
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1215514120 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 · 0002256
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.
25201 CHAGRIN BLVD STE 390, Beachwood, OH 44122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JEFFREY WILKINS
Peer Specialist
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH 44122
Cuyahoga County (216) 455-7201
ASHLEY MICHELLE GULLEY
Social Worker (Clinical)
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH 44122
Cuyahoga County (216) 209-7830
MR. ASA J NEWSOME
Peer Specialist
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH 44122
Cuyahoga County (216) 910-9015
LAUREL G KAISER
Counselor
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH 44122
Cuyahoga County (216) 282-7244
JUNE CAREY CDCA
Counselor
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH 44122
Cuyahoga County (216) 910-9015
ETHAN HOLMES
Peer Specialist
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH 44122
Cuyahoga County (216) 910-9015
MARSHA JOHNSON CDCA
Case Manager/Care Coordinator
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH 44122
Cuyahoga County (216) 910-9015
MR. DONALD ALFRED WOODRUFF
Peer Specialist
25201 CHAGRIN BLVD STE 390
BEACHWOOD, OH 44122
Cuyahoga County (216) 910-9015

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 Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1215514120. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Stephanie Jackson located?

Stephanie Jackson practices at 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122. The listed phone number is (216) 910-9015.

What is Stephanie 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 Stephanie Jackson was last updated on March 26, 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.