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SOMER JACKSON
NPI 1760191803
Peer Specialist in Poplar Bluff, MO

Active since November 17, 2022
3001 WARRIOR LN, POPLAR BLUFF, MO 63901(573) 686-1200 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, Nov 17, 2022 (2 updates tracked since 2022).

About Somer Jackson NPPES

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

SOMER JACKSON (NPI 1760191803) is an individual peer specialist in Poplar Bluff, Missouri, licensed in Missouri (15674) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1760191803
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSOMER JACKSON
Location Address3001 WARRIOR LNPoplar Bluff, MO 63901-8685
Mailing Address3001 Warrior LnPoplar Bluff, MO 63901-8685 · (573) 686-1200
Phone(573) 686-1200
Sole ProprietorNo
Enumeration DateNovember 17, 2022
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1760191803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in MO · 15674
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
3001 WARRIOR LN, Poplar Bluff, MO 63901
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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.

ALLYSON RAE FITZWATER
Community Health Worker
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
ERICA DANIELLE RAYMER
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
AUBREY NICOLE WADE
Behavior Technician
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
ASHLEY MATLOCK
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
MS. LYDIA ALPHA MABBITT LPC
Counselor (Professional)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
JULIE ROSS LCSW
Social Worker (Clinical)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
MS. CHRISTINA J CUNNINGHAM MS
Counselor
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
SHERIAL LYNN NANCE
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200

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 Somer Jackson's NPI number?

The NPI number for Somer Jackson is 1760191803. It was assigned to this individual provider in the NPPES registry on November 17, 2022.

Where is Somer Jackson located?

Somer Jackson practices at 3001 Warrior Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 686-1200.

What is Somer 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 Somer Jackson was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.