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ANGELINA C JACKSON
NPI 1922979814
Peer Specialist in Columbus, OH

Active since September 15, 2025
1453 E MAIN ST, COLUMBUS, OH 43205(614) 671-2903 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelina C Jackson NPPES

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

ANGELINA C JACKSON (NPI 1922979814) is an individual peer specialist in Columbus, Ohio, licensed in Ohio (APS.006755) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1922979814
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameANGELINA C JACKSON
Location Address1453 E MAIN STColumbus, OH 43205-2152
Mailing Address296 Cullman RdColumbus, OH 43207-3022
Phone(614) 671-2903
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1922979814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS.006755
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.
1453 E MAIN ST, Columbus, OH 43205
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY PRATT
Peer Specialist
1453 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 671-2903
YVONNE BRANDT
Peer Specialist
1453 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 671-2903
SIOBHAN GANNAWAY
Peer Specialist
1453 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 671-2903
MONICA J LAWRENCE
Peer Specialist
1453 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 671-2903
FREEDOM TO RECOVER COUNSELING & TREATMENT CENTER LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1453 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 671-2903
IKEYA YOUNG
Peer Specialist
1453 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 671-2903
MARC CORNES
Peer Specialist
1453 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 671-2903
TIKISHA CLARK
Peer Specialist
1453 E MAIN ST
COLUMBUS, OH 43205
Franklin County (614) 671-2903

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 Angelina Jackson's NPI number?

The NPI number for Angelina Jackson is 1922979814. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Angelina Jackson located?

Angelina Jackson practices at 1453 E Main St, Columbus, OH 43205. The listed phone number is (614) 671-2903.

What is Angelina 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 Angelina Jackson was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.