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MS. SHANNON M JACKSON CPRC, CCAR
NPI 1265289078
Peer Specialist in Flint, MI

Active since May 01, 2024
1044 GILBERT ST, FLINT, MI 48532(810) 422-9406 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, May 1, 2024 (2 updates tracked since 2024).

About Ms. Shannon M Jackson Cprc, Ccar NPPES

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

MS. SHANNON M JACKSON CPRC, CCAR (NPI 1265289078) is an individual peer specialist in Flint, Michigan and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1265289078
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. SHANNON M JACKSONCredential: CPRC, CCAR
Location Address1044 GILBERT STFlint, MI 48532-3527
Mailing Address1044 Gilbert StFlint, MI 48532-3527 · (810) 422-9406 · Fax (810) 733-7623
Phone(810) 422-9406
Sole ProprietorNo
Enumeration DateMay 1, 2024
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1265289078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.

1044 GILBERT ST, Flint, MI 48532
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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.

MR. CARL H MADDOX CCAR
Counselor (Addiction (Substance Use Disorder))
1044 GILBERT ST
FLINT, MI 48532
Genesee County (810) 422-9406
JENNIFER ANN ALLEN CCAR
Peer Specialist
1044 GILBERT ST
FLINT, MI 48532
Genesee County (810) 422-9406
TRACY LYNN HOLLIS MSW
Counselor (Addiction (Substance Use Disorder))
1044 GILBERT ST
FLINT, MI 48532
Genesee County (810) 422-9406
CORTNEY ELIZABETH PARTRIDGE
Licensed Practical Nurse
1044 GILBERT ST
FLINT, MI 48532
Genesee County (810) 422-9406
SIMONE RENE JACKSON MAS (AJS)
Counselor (Addiction (Substance Use Disorder))
1044 GILBERT ST
FLINT, MI 48532
Genesee County (810) 422-9406
KATHRYN ANN BAMBA BS CADC
Counselor (Addiction (Substance Use Disorder))
1044 GILBERT ST
FLINT, MI 48532
Genesee County (810) 422-9406
MS. MEGHAN DAVIS LPC, NCC, CAADC, CCS
Counselor
1044 GILBERT ST
FLINT, MI 48532
Genesee County (810) 422-9406
MRS. SUSAN M CARD LMSW
Social Worker (Clinical)
1044 GILBERT ST
FLINT, MI 48532
Genesee County (810) 422-9406

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 Shannon Jackson's NPI number?

The NPI number for Shannon Jackson is 1265289078. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Shannon Jackson located?

Shannon Jackson practices at 1044 Gilbert St, Flint, MI 48532. The listed phone number is (810) 422-9406.

What is Shannon 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 Shannon Jackson was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.