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KELLY I JACKSON
NPI 1487023032
Case Manager/Care Coordinator in Dayton, OH

Active since September 24, 2015
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH INC, 1ST FLOOR NW BLDG, DAYTON, OH 45417(937) 734-8333 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly I Jackson NPPES

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

KELLY I JACKSON (NPI 1487023032) is an individual case manager/care coordinator provider in Dayton, Ohio and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1487023032
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKELLY I JACKSON
Location Address601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH INC, 1ST FLOOR NW BLDGDayton, OH 45417-3424
Mailing Address601 S Edwin C Moses Blvd, Samaritan Behavioral Health Inc, 4th Floor Nw BldgDayton, OH 45417-3424 · (937) 734-8333 · Fax (937) 276-8269
Phone(937) 734-8333
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
✔ NPI 1487023032 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.
601 S EDWIN C MOSES BLVD, Dayton, OH 45417
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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.

ASHLEY H HICKS PC
Counselor (Mental Health)
601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BLDG.
DAYTON, OH 45417
Montgomery County (937) 734-8333
SARAH BYRAM LPC
Counselor (Mental Health)
601 S EDWIN C MOSES BLVD, 4TH FLOOR NW BUILDING
DAYTON, OH 45417
Montgomery County (937) 734-8333
VICTORIA ANN GOTTSCHLICH RN
Registered Nurse
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Montgomery County (937) 734-4310
MEGHAN WERTALIK
Counselor
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Montgomery County (937) 734-8269
ALEXIS NICOLE GRICE
Counselor (Mental Health)
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Montgomery County (937) 734-8333
PIERRE WRIGHT LCDC II
Counselor (Addiction (Substance Use Disorder))
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Montgomery County (937) 734-8333
MR. WILLIAM CALVIN ARMOUR
Social Worker
601 S EDWIN C MOSES BLVD, 1ST FLOOR, NW BLDG
DAYTON, OH 45417
Montgomery County (937) 224-4646
SHERRY LYNN DALTON RN
Registered Nurse
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417
Montgomery County (937) 734-8333

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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1487023032. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Kelly Jackson located?

Kelly Jackson practices at 601 S Edwin C Moses Blvd Samaritan Behavioral Health Inc, 1st Floor NW Bldg, Dayton, OH 45417. The listed phone number is (937) 734-8333.

What is Kelly 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 Kelly Jackson was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.