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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANEAN L JACKSON
NPI 1427894203
Peer Specialist in Vancouver, WA

Active since July 02, 2024
5115 NE 82ND AVE STE 101, VANCOUVER, WA 98662(360) 360-8844 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Jul 2, 2024 (2 updates tracked since 2024).

About Shanean L Jackson NPPES

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

SHANEAN L JACKSON (NPI 1427894203) is an individual peer specialist in Vancouver, Washington and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1427894203
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANEAN L JACKSON
Location Address5115 NE 82ND AVE STE 101Vancouver, WA 98662-6842
Mailing Address5115 Ne 82nd Ave Ste 101Vancouver, WA 98662-6842 · (360) 360-8844
Phone(360) 360-8844
Sole ProprietorNo
Enumeration DateJuly 2, 2024
Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1427894203 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.
5115 NE 82ND AVE STE 101, Vancouver, WA 98662
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Other Providers at the Same Location NPPES 4

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

BENJAMIN ANYAN JAMES
Counselor
5115 NE 82ND AVE STE 101
VANCOUVER, WA 98662
Clark County (360) 360-6040
ANTHONY JAMES BREIMON
Counselor
5115 NE 82ND AVE STE 101
VANCOUVER, WA 98662
Clark County (360) 355-0805
LAURA CISSNA
Counselor (Mental Health)
5115 NE 82ND AVE STE 101
VANCOUVER, WA 98662
Clark County (360) 360-6040
ANGELO ALEXANDER GONZALES
Counselor
5115 NE 82ND AVE STE 101
VANCOUVER, WA 98662
Clark County (360) 360-8844

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 Shanean Jackson's NPI number?

The NPI number for Shanean Jackson is 1427894203. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Shanean Jackson located?

Shanean Jackson practices at 5115 NE 82nd Ave Ste 101, Vancouver, WA 98662. The listed phone number is (360) 360-8844.

What is Shanean 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 Shanean Jackson was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.