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RENEE M JACKSON
NPI 1962979658
Counselor - Mental Health in Cleveland, OH

Active since October 31, 2018
860 E 222ND ST, CLEVELAND, OH 44123(216) 447-9600 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renee M Jackson NPPES

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

RENEE M JACKSON (NPI 1962979658) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (C.1801060) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1962979658
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRENEE M JACKSON
Location Address860 E 222ND STCleveland, OH 44123-3317
Mailing Address7565 Granger RdCleveland, OH 44125-4818
Phone(216) 447-9600
Sole ProprietorNo
Enumeration DateOctober 31, 2018
✔ NPI 1962979658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.1801060
860 E 222ND ST, Cleveland, OH 44123
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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 Renee Jackson's NPI number?

The NPI number for Renee Jackson is 1962979658. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Where is Renee Jackson located?

Renee Jackson practices at 860 E 222nd St, Cleveland, OH 44123. The listed phone number is (216) 447-9600.

What is Renee Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Renee Jackson was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.