DENISE DIANE JACKSON NPI 1538675632

NPI Information

  • NPI: 1538675632
  • Provider Name: DENISE DIANE JACKSON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4298 ROCKY RIVER DR
    CLEVELAND, OH
    ZIP 44135
  • Phone: (216) 526-4729

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NPI Details

Denise Diane Jackson is an addiction (substance use disorder) counselor in Cleveland, OH. Denise Diane Jackson NPI is 1538675632. 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:

4298 ROCKY RIVER DR
CLEVELAND, OH
ZIP 44135-951
Phone: (216) 526-4729
Fax: (216) 781-2252

The enumeration date for this NPI number is 12/27/2017 and was last updated on 1/26/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)164132OHIOYes

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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