ROBIN ELAINE JACKSON NPI 1821582776

NPI Information

  • NPI: 1821582776
  • Provider Name: ROBIN ELAINE JACKSON
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 25 WHITNEY DR STE 122
    MILFORD, OH
    ZIP 45150
  • Phone: (513) 941-4999

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NPI Details

Robin Elaine Jackson is a professional counselor in Milford, OH. Robin Elaine Jackson NPI is 1821582776. 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:

25 WHITNEY DR STE 122
MILFORD, OH
ZIP 45150-400
Phone: (513) 941-4999
Fax: (513) 694-0168

The enumeration date for this NPI number is 6/14/2018 and was last updated on 12/20/2024.

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)LCDCIII.162469OHIONo
2101YA0400XCounselorAddiction (Substance Use Disorder)LCDCII.161636OHIONo
3101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.166828OHIONo
4101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.162999OHIONo
5101YM0800XCounselorMental HealthC.2405498-TRNEOHIONo
6101YP2500XCounselorProfessionalC.2406666OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10339385MEDICAIDOHIO

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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