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CHANDA JACKSON
NPI 1619844842
Counselor - Mental Health in Cincinnati, OH

Active since October 22, 2025
3650 MUDDY CREEK RD STE 100, CINCINNATI, OH 45238(513) 347-0375 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chanda Jackson NPPES

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

CHANDA JACKSON (NPI 1619844842) is an individual mental health provider in Cincinnati, Ohio and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1619844842
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHANDA JACKSON
Location Address3650 MUDDY CREEK RD STE 100Cincinnati, OH 45238-2058
Mailing Address3650 Muddy Creek Rd Ste 100Cincinnati, OH 45238-2058 · (513) 347-0375
Phone(513) 347-0375
Sole ProprietorYes
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1619844842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3650 MUDDY CREEK RD STE 100, Cincinnati, OH 45238
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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.

BRITTNEY GREEN CT
Counselor
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
LATONYA M CLIDE
Case Manager/Care Coordinator
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
STEPHANIE ANDERSON
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
LASADA DARDEN
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
ERICA JOHNSON
Case Manager/Care Coordinator
3650 MUDDY CREEK RD STE 100, 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
KAYLAND P BREED
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
SHAKITA CASEY
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
AUDREI ONOME EGBUDIN CDCA
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375

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 Chanda Jackson's NPI number?

The NPI number for Chanda Jackson is 1619844842. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Chanda Jackson located?

Chanda Jackson practices at 3650 Muddy Creek Rd Ste 100, Cincinnati, OH 45238. The listed phone number is (513) 347-0375.

What is Chanda Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Chanda Jackson was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.