Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

RAFAEL DOUGLAS JACKSON
NPI 1689592271
Community Health Worker in Princeton, WV

Active since July 09, 2026
200 12TH STREET EXT, PRINCETON, WV 24740(304) 425-9541 Get Directions Write a Review

NPPES record added: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Douglas Jackson NPPES

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

RAFAEL DOUGLAS JACKSON (NPI 1689592271) is an individual community health worker in Princeton, West Virginia and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1689592271
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameRAFAEL DOUGLAS JACKSON
Location Address200 12TH STREET EXTPrinceton, WV 24740-2329
Mailing Address200 12th Street ExtPrinceton, WV 24740-2329 · (304) 425-9541
Sole ProprietorNo
Enumeration DateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
NPI 1689592271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
200 12TH STREET EXT, Princeton, WV 24740

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.

Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Community Health Worker
200 12TH STREET EXT
PRINCETON, WV 24740
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740

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 Rafael Jackson's NPI number?

The NPI number for Rafael Jackson is 1689592271. It was assigned to this individual provider in the NPPES registry on July 9, 2026.

Where is Rafael Jackson located?

Rafael Jackson practices at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-9541.

What is Rafael Jackson's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Rafael Jackson was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.