CHANTILLE UNIQUE JACKSON MSW, LSW
NPI 1578824447
Community/Behavioral Health in Berea, OH

Q: What is the provider's specialty?

The provider's specialty is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 06, 2012

202 E BAGLEY RD, BEREA, OH 44017(440) 260-8300 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Community/Behavioral Health

About CHANTILLE JACKSON

This page provides the complete NPI Profile along with additional information for Chantille Jackson, a provider established in Berea, Ohio with a medical specialization in Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1578824447 assigned on June 2012. The practitioner's primary taxonomy code is 251S00000X with license number S.1101606 (OH). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI: 1578824447 Verify this NPI
Provider Name: CHANTILLE UNIQUE JACKSON MSW, LSW
Gender: Female
Entity Type: Individual
Location Address: 202 E BAGLEY RD BEREA, OH 44017
Location Phone: (440) 260-8300
Mailing Address: 202 E BAGLEY RD BEREA, OH 44017
Mailing Phone: (440) 260-8300
Is Sole Proprietor?: Yes
Enumeration Date: 06-06-2012
Last Update Date: 06-06-2012
Code Navigator

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: Community/Behavioral Health
Taxonomy Code: 251S00000X
Type: Agencies
License No.: S.1101606
License State: OH
Taxonomy Description: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.