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EVAN JACKSON PC-CR
NPI 1902290497
Counselor - Professional in Sidney, OH

Active since March 24, 2015
1101 N VANDEMARK RD, SIDNEY, OH 45365(937) 492-8080 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Jackson Pc-cr NPPES

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

EVAN JACKSON PC-CR (NPI 1902290497) is an individual professional provider in Sidney, Ohio, licensed in Ohio (C09000163) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1902290497
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEVAN JACKSONCredential: PC-CR
Location Address1101 N VANDEMARK RDSidney, OH 45365-3567
Mailing Address1101 N Vandemark RdSidney, OH 45365-3567 · (937) 492-8080
Phone(937) 492-8080
Sole ProprietorNo
Enumeration DateMarch 24, 2015
✔ NPI 1902290497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C09000163
1101 N VANDEMARK RD, Sidney, OH 45365
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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.

RACHEL LAVINS
Social Worker
1101 N VANDEMARK RD
SIDNEY, OH 45365
Shelby County (937) 423-6365
PAMELA A TRENT SWA
Social Worker
1101 N VANDEMARK RD
SIDNEY, OH 45365
Shelby County (937) 492-8080
JENNA J BRANAM CNP
Nurse Practitioner (Psychiatric/Mental Health)
1101 N VANDEMARK RD
SIDNEY, OH 45365
Shelby County (937) 622-7393
AMANDA STRUNK
Community Health Worker
1101 N VANDEMARK RD
SIDNEY, OH 45365
Shelby County (937) 710-4616
JOANNA SUE SHAW
Licensed Practical Nurse
1101 N VANDEMARK RD
SIDNEY, OH 45365
Shelby County (567) 371-4418
MRS. CHRISTIAN R. COBLENTZ MSW LSW
Social Worker
1101 N VANDEMARK RD
SIDNEY, OH 45365
Shelby County (937) 492-8080
CIARA DAWN FERGUSON
Social Worker
1101 N VANDEMARK RD
SIDNEY, OH 45365
Shelby County (937) 710-4616
SHELBY COUNTY COUNSELING CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1101 N VANDEMARK RD
SIDNEY, OH 45365
Shelby County (937) 492-6970

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 Evan Jackson's NPI number?

The NPI number for Evan Jackson is 1902290497. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Evan Jackson located?

Evan Jackson practices at 1101 N Vandemark Rd, Sidney, OH 45365. The listed phone number is (937) 492-8080.

What is Evan Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Evan Jackson was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.