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Active NPI 1215514120 Individual Practitioner Female Practitioner

Stephanie Jackson , OCPRS

Peer Specialist • Beachwood, OH

Professional Overview & Biography Verified Profile Summary

Stephanie Jackson, OCPRS is a registered healthcare professional specializing in Peer Specialist in Beachwood, OH. Practice services are available at 25201 CHAGRIN BLVD STE 390 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25201 Chagrin Blvd Ste 390

Beachwood, OH 441225637

Telephone 2169109015
Fax 2169109015
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Beachwood, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
43 Specialists

Practicing in Beachwood, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-26
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH 0002256

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christopher Williams

Peer Specialist

NPI 1003630773
China Robertson

Peer Specialist

NPI 1003695495
Cedric Smith

Peer Specialist

NPI 1013587104
Taja Taylor

Peer Specialist

NPI 1023856135
Asa Newsome

Peer Specialist

NPI 1033780085
Majid O'hara

Peer Specialist

NPI 1053016071

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2021

Registered at 25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH 441225637 (Tel: 2169109015)

📍
Updated Business Mailing Address March 26, 2021

Registered at 8414 WHITTINGTON DR, PARMA, OH 441293516 (Tel: 4407321889)

👤
Provider Name / Credentials Updated March 26, 2021

Recorded as STEPHANIE JACKSON, OCPRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2021

Peer Specialist (License #0002256 in OH)

🟢
Initial NPI Registration & Enumeration March 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215514120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2021
Last Update: March 26, 2021
Sole Proprietor: Yes

Mailing Address

8414 Whittington Dr

Parma, OH 441293516

Phone: 4407321889

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.