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TECHINA CHANTA JACKSON CDCA 161767
NPI 1609348770
Counselor in Xenia, OH

Active since December 29, 2018
515 MARTIN DR, XENIA, OH 45385(937) 562-2400(937) 562-2450 Get Directions Write a Review

NPPES record last updated: December 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Techina Chanta Jackson Cdca 161767 NPPES

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

TECHINA CHANTA JACKSON CDCA 161767 (NPI 1609348770) is an individual counselor in Xenia, Ohio, licensed in Ohio (161767) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1609348770
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTECHINA CHANTA JACKSONCredential: CDCA 161767
Location Address515 MARTIN DRXenia, OH 45385-1615
Mailing Address515 Martin DrXenia, OH 45385-1615 · (773) 815-4908 · Fax (937) 562-2450
Phone(937) 562-2400
Fax(937) 562-2450
Sole ProprietorYes
Enumeration DateDecember 29, 2018
✔ NPI 1609348770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · 161767
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
515 MARTIN DR, Xenia, OH 45385
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

SHANNON NICOLE SULLLIVAN CDCA
Counselor (Addiction (Substance Use Disorder))
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
DENISE DARLENE DAWSON CDCA
Case Manager/Care Coordinator
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
JESSICA L KING LSW
Social Worker
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
HEATHER RENEE BYRD
Counselor (Addiction (Substance Use Disorder))
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
RECOVERY CENTERS INCORPORATED
Substance Abuse Rehabilitation Facility
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 352-2900
TANA MICHELE COX
Counselor (Professional)
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 458-4880
AMANDA GRACE MONTGOMERY CDCA
Counselor (Addiction (Substance Use Disorder))
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
SHAKIA PORTER
Counselor (Addiction (Substance Use Disorder))
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400

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 Techina Jackson's NPI number?

The NPI number for Techina Jackson is 1609348770. It was assigned to this individual provider in the NPPES registry on December 29, 2018.

Where is Techina Jackson located?

Techina Jackson practices at 515 Martin Dr, Xenia, OH 45385. The listed phone number is (937) 562-2400.

What is Techina Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Techina Jackson was last updated on December 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.