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RUSSELL L JACKSON QMHS BA CMS BA
NPI 1396218418
Community/Behavioral Health in Cleveland, OH

Active since January 11, 2019
3500 CARNEGIE AVE, CLEVELAND, OH 44115(440) 260-8300 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell L Jackson Qmhs Ba Cms Ba NPPES

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

RUSSELL L JACKSON QMHS BA CMS BA (NPI 1396218418) is an individual community/behavioral health provider in Cleveland, Ohio and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1396218418
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameRUSSELL L JACKSONCredential: QMHS BA CMS BA
Location Address3500 CARNEGIE AVECleveland, OH 44115-2641
Mailing Address434 Eastland RdBerea, OH 44017-1217 · (440) 234-2006
Phone(440) 260-8300
Sole ProprietorYes
Enumeration DateJanuary 11, 2019
✔ NPI 1396218418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3500 CARNEGIE AVE, Cleveland, OH 44115
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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.

KIM M JACKSON LISW
Social Worker (Clinical)
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8554
OLIVIA H GUTBROD QMHS BA
Community/Behavioral Health
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
KAYLEIGH BERENDT PRS
Peer Specialist
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
MELISSA J ALLEN QMHS 3YRS CMS
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
CARMELA HOWELL
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 234-2006
ANGELA BILANCINI
Social Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-6835
ARIANNE CAIN
Social Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8328
SABBRINA POMPEY
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 234-2006

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 Russell Jackson's NPI number?

The NPI number for Russell Jackson is 1396218418. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Russell Jackson located?

Russell Jackson practices at 3500 Carnegie Ave, Cleveland, OH 44115. The listed phone number is (440) 260-8300.

What is Russell Jackson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Russell Jackson was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.