SHIRRON GARDNER-JACKSON LCDCIII
NPI 1548701170
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since March 15, 2017
4660 ROBERTS RD, COLUMBUS, OH 43228(513) 834-7063(513) 873-1567 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 13, 2019, Mar 15, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)

About SHIRRON GARDNER-JACKSON

This page provides the complete NPI Profile along with additional information for Shirron Gardner-jackson, a provider established in Columbus, Ohio with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1548701170 assigned on March 2017. The practitioner's primary taxonomy code is 101YA0400X with license number LCDCIII.141283 (OH). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1548701170 Verify this NPI
Provider Name
SHIRRON GARDNER-JACKSON LCDCIII
Gender
Female
Entity Type
Individual
Location Address
4660 ROBERTS RD COLUMBUS, OH 43228
Location Phone
(513) 834-7063
Location Fax
(513) 873-1567
Mailing Address
446 MORGAN ST CINCINNATI, OH 45206
Mailing Phone
(513) 834-7063
Mailing Fax
(513) 873-1567
Is Sole Proprietor?
No
Enumeration Date
03-15-2017
Last Update Date
11-13-2019
Code Navigator

A Substance Abuse or Addiction Counselor like Shirron Gardner-jackson advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
LCDCIII.141283
License State
OH

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

LCDCIII.141283 (OH)

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
4660 ROBERTS RD
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4660 ROBERTS RD
COLUMBUS, OH 43228
Counselor
4660 ROBERTS RD
COLUMBUS, OH 43228
Registered Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4660 ROBERTS RD
COLUMBUS, OH 43228
Registered Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Counselor (Professional)
4660 ROBERTS RD
COLUMBUS, OH 43228
Registered Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Registered Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4660 ROBERTS RD
COLUMBUS, OH 43228
Social Worker
4660 ROBERTS RD
COLUMBUS, OH 43228
Licensed Practical Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4660 ROBERTS RD
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4660 ROBERTS RD
COLUMBUS, OH 43228
Social Worker
4660 ROBERTS RD
COLUMBUS, OH 43228
Registered Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Registered Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Counselor (Professional)
4660 ROBERTS RD
COLUMBUS, OH 43228
Nurse Practitioner
4660 ROBERTS RD
COLUMBUS, OH 43228
Counselor (Addiction (Substance Use Disorder))
4660 ROBERTS RD
COLUMBUS, OH 43228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548701170, enumerated as an "individual" on March 15, 2017.

The provider is located at 4660 ROBERTS RD COLUMBUS, OH 43228 and the phone number is (513) 834-7063.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).