1. Home
  2. Directory
  3. Massachusetts
  4. Roxbury
  5. Case Manager Care Coordinator
  6. NPI Profile

JACKSON
NPI 1376491035
Case Manager/Care Coordinator in Roxbury, MA

Active since March 18, 2026
56 WARREN ST FL 2, ROXBURY, MA 02119(857) 364-1103 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson NPPES

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

JACKSON (NPI 1376491035) is a healthcare organization registered as a case manager/care coordinator in Roxbury, Massachusetts and active in the NPI registry since March 2026. The organization lists Shynna Jackson, Founder-director Of Program Operati, as its authorized official.

NPPES Registry Identity

NPI1376491035
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameJACKSON
Location Address56 WARREN ST FL 2Roxbury, MA 02119-3236
Mailing Address56 Warren St Fl 2Roxbury, MA 02119-3236 · (857) 364-1103
Phone(857) 364-1103
Organization SubpartNo
Authorized OfficialShynna JacksonFounder-director Of Program Operati · (857) 350-6060
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1376491035 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.
56 WARREN ST FL 2, Roxbury, MA 02119
Open in Google Maps ↗

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

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

WENDYLEES DEJESUS
Counselor
56 WARREN ST FL 2
ROXBURY, MA 02119
Suffolk County (339) 216-2640

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 Jackson's NPI number?

The NPI number for Jackson is 1376491035. It was assigned to this organization in the NPPES registry on March 18, 2026.

Where is Jackson located?

Jackson is located at 56 Warren St Fl 2, Roxbury, MA 02119. The listed phone number is (857) 364-1103.

What is 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 Jackson was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.