SHAINA M JACKSON
NPI 1407569387
Counselor in Cheshire, CT

Active since January 05, 2023
609 W JOHNSON AVE STE 400, CHESHIRE, CT 06410(855) 284-7483(617) 807-0958 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaina M Jackson NPPES

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

SHAINA M JACKSON (NPI 1407569387) is an individual counselor in Cheshire, Connecticut, licensed in Connecticut (5160) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1407569387
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHAINA M JACKSON
Location Address609 W JOHNSON AVE STE 400Cheshire, CT 06410-4505
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Fax(617) 807-0958
Sole ProprietorNo
Enumeration DateJanuary 5, 2023
NPPES CertifiedJanuary 5, 2023
NPI 1407569387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in CT · 5160
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
609 W JOHNSON AVE STE 400, Cheshire, CT 06410

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
609 W JOHNSON AVE STE 400
CHESHIRE, CT 06410
Social Worker (Clinical)
609 W JOHNSON AVE STE 400
CHESHIRE, CT 06410

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 Shaina Jackson's NPI number?

The NPI number for Shaina Jackson is 1407569387. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Shaina Jackson located?

Shaina Jackson practices at 609 W Johnson Ave Ste 400, Cheshire, CT 06410. The listed phone number is (855) 284-7483.

What is Shaina Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shaina Jackson was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.