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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.

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: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Nov 13, 2019, Mar 15, 2017 (3 updates tracked since 2017).

About Shirron Gardner-jackson Lcdciii NPPES

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

SHIRRON GARDNER-JACKSON LCDCIII (NPI 1548701170) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (LICDC162800) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1548701170
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHIRRON GARDNER-JACKSONCredential: LCDCIII
Location Address4660 ROBERTS RDColumbus, OH 43228-9671
Mailing Address446 Morgan StCincinnati, OH 45206-2348 · (513) 834-7063 · Fax (513) 873-1567
Phone(513) 834-7063
Fax(513) 873-1567
Sole ProprietorNo
Enumeration DateMarch 15, 2017
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1548701170 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 · LICDC162800
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LISW2608750 (OH)
4660 ROBERTS RD, Columbus, OH 43228
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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.

ANTHONY LAMAR JOHNSON
Counselor (Addiction (Substance Use Disorder))
4660 ROBERTS RD
COLUMBUS, OH 43228
Franklin County (833) 510-4357
NOHA MOHSEN ALI LICDC
Counselor (Addiction (Substance Use Disorder))
4660 ROBERTS RD
COLUMBUS, OH 43228
Franklin County (833) 510-4357
MEGHAN CASEY
Social Worker (Clinical)
4660 ROBERTS RD
COLUMBUS, OH 43228
Franklin County (513) 834-7063
MEGAN VERTICCHIO CDCA
Counselor (Addiction (Substance Use Disorder))
4660 ROBERTS RD
COLUMBUS, OH 43228
Franklin County (513) 834-7063
CARMEN M FLENORY LPN
Licensed Practical Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Franklin County (513) 834-7063
TASNEEM SHALASH LSW
Social Worker
4660 ROBERTS RD
COLUMBUS, OH 43228
Franklin County (513) 834-7063
LESLIE NICOLE STEELE LPN
Licensed Practical Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Franklin County (833) 510-4357
TAMMIE CIMINO RN
Registered Nurse
4660 ROBERTS RD
COLUMBUS, OH 43228
Franklin County (513) 834-7063

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 Shirron Gardner-jackson's NPI number?

The NPI number for Shirron Gardner-jackson is 1548701170. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Where is Shirron Gardner-jackson located?

Shirron Gardner-jackson practices at 4660 Roberts Rd, Columbus, OH 43228. The listed phone number is (513) 834-7063.

What is Shirron Gardner-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 Shirron Gardner-jackson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.