SHAINA M JACKSON NPI 1407569387

NPI Information

  • NPI: 1407569387
  • Provider Name: SHAINA M JACKSON
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 609 W JOHNSON AVE STE 400
    CHESHIRE, CT
    ZIP 06410
  • Phone: (855) 284-7483

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NPI Details

Shaina M Jackson is a counselor in Cheshire, CT. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Shaina M Jackson NPI is 1407569387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

609 W JOHNSON AVE STE 400
CHESHIRE, CT
ZIP 06410-505
Phone: (855) 284-7483
Fax: (617) 807-0958

The enumeration date for this NPI number is 1/5/2023 and was last updated on 1/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor5160CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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