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SIMONE D JACKSON
NPI 1467237180
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since August 30, 2023
1701 PAYNE AVE, CLEVELAND, OH 44114(216) 910-9015 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simone D Jackson NPPES

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

SIMONE D JACKSON (NPI 1467237180) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (CDCA.192556) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1467237180
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSIMONE D JACKSON
Location Address1701 PAYNE AVECleveland, OH 44114-2909
Mailing Address1701 Payne AveCleveland, OH 44114-2909 · (216) 910-9015
Phone(216) 910-9015
Sole ProprietorYes
Enumeration DateAugust 30, 2023
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1467237180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.192556
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1701 PAYNE AVE, Cleveland, OH 44114
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Other Providers at the Same Location NPPES 11

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

MRS. FELECIA POWELL LSW
Social Worker (Clinical)
1701 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 224-2493
LATASHA MIREE LICDC-CS
Counselor (Addiction (Substance Use Disorder))
1701 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
CARE ALLIANCE
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 781-6228
MONIQUE HOLLAND
Case Manager/Care Coordinator
1701 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 901-9015
REGINA WATTS-HERBERT
Peer Specialist
1701 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 910-9015
LAJUNNA MONTGOMERY
Peer Specialist
1701 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 910-9015
ASHLEY NICOLE CAMPBELL
Counselor (Addiction (Substance Use Disorder))
1701 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 910-9015
MICHAEL PIOTROWSKI
Peer Specialist
1701 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 910-9015

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 Simone Jackson's NPI number?

The NPI number for Simone Jackson is 1467237180. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Simone Jackson located?

Simone Jackson practices at 1701 Payne Ave, Cleveland, OH 44114. The listed phone number is (216) 910-9015.

What is Simone Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Simone Jackson was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.