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TYLER JACKSON
NPI 1598658783
Peer Specialist in Cleveland, OH

Active since May 29, 2025
2081 E 40TH ST, CLEVELAND, OH 44103(216) 536-3004 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Jackson NPPES

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

TYLER JACKSON (NPI 1598658783) is an individual peer specialist in Cleveland, Ohio and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1598658783
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTYLER JACKSON
Location Address2081 E 40TH STCleveland, OH 44103-4331
Mailing Address2915 E 120th StCleveland, OH 44120-2607 · (713) 539-5448
Phone(216) 536-3004
Sole ProprietorNo
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1598658783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2081 E 40TH ST, Cleveland, OH 44103
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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.

SHEENA BASKIN FRYERSON
Case Manager/Care Coordinator
2081 E 40TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 403-3403
MR. CHARLES E BATTLE III
Case Manager/Care Coordinator
2081 E 40TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 360-1266
KYLEN MCCRACKEN
Case Manager/Care Coordinator
2081 E 40TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 269-1700
DONETTA BENARD-OATS
Peer Specialist
2081 E 40TH ST
CLEVELAND, OH 44103
Cuyahoga County (402) 598-7265
ASHLEE MONQUIE PUGH
Case Manager/Care Coordinator
2081 E 40TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 551-7623
DELILAH L GORE
Case Manager/Care Coordinator
2081 E 40TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 403-5543
MIGNON STEELE
Case Manager/Care Coordinator
2081 E 40TH ST
CLEVELAND, OH 44103
Cuyahoga County (888) 288-9775
PEARL L CHEN
Case Manager/Care Coordinator
2081 E 40TH ST
CLEVELAND, OH 44103
Cuyahoga County (216) 260-1366

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 Tyler Jackson's NPI number?

The NPI number for Tyler Jackson is 1598658783. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Tyler Jackson located?

Tyler Jackson practices at 2081 E 40th St, Cleveland, OH 44103. The listed phone number is (216) 536-3004.

What is Tyler Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tyler Jackson was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.