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JABARI NAGILA ANDERSON PRS, CDCA, QMHS
NPI 1750155453
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since November 13, 2023
3305 FULTON RD, CLEVELAND, OH 44109(914) 439-6065 Get Directions Write a Review

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

About Jabari Nagila Anderson Prs, Cdca, Qmhs NPPES

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

JABARI NAGILA ANDERSON PRS, CDCA, QMHS (NPI 1750155453) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (CDCA.128189) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1750155453
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJABARI NAGILA ANDERSONCredential: PRS, CDCA, QMHS
Location Address3305 FULTON RDCleveland, OH 44109-1464
Mailing Address3305 Fulton RdCleveland, OH 44109-1464 · (914) 439-6065
Phone(914) 439-6065
Sole ProprietorYes
Enumeration DateNovember 13, 2023
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1750155453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.128189
3305 FULTON RD, Cleveland, OH 44109
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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 Jabari Anderson's NPI number?

The NPI number for Jabari Anderson is 1750155453. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Jabari Anderson located?

Jabari Anderson practices at 3305 Fulton Rd, Cleveland, OH 44109. The listed phone number is (914) 439-6065.

What is Jabari Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jabari Anderson was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.