Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336092048 Individual Practitioner Male Practitioner

Lee Jackson

Peer Specialist • Berea, OH

Professional Overview & Biography Verified Profile Summary

Lee Jackson is a registered healthcare professional specializing in Peer Specialist in Berea, OH. Practice services are available at 343 W BAGLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

343 W Bagley Rd

Berea, OH 440171370

Telephone 4402606835
Associated Practice Facility / Clinic
🏢 Procare Vision Center Facility NPI 1902933294

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Berea, OH

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

Practicing in Berea, 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: 2026-02-20
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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
Angela Bilancini

Social Worker

NPI 1003627548
Asiya Jawad

Community Health Worker

NPI 1003632241
Ekele Nwankwo

Community Health Worker

NPI 1003654021
NPI 1003735051
Caitlin Luskin

Community Health Worker

NPI 1003771239
Phenise Milord

Social Worker

NPI 1013748656

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 20, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2026

Registered at 343 W BAGLEY RD, BEREA, OH 440171370 (Tel: 4402606835)

📍
Updated Business Mailing Address February 20, 2026

Registered at 343 W BAGLEY RD, BEREA, OH 440171370 (Tel: 4402606835)

👤
Provider Name / Credentials Updated February 20, 2026

Recorded as LEE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2026

Peer Specialist

🟢
Initial NPI Registration & Enumeration February 20, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336092048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2026
Last Update: February 20, 2026
Sole Proprietor: Yes

Mailing Address

343 W Bagley Rd

Berea, OH 440171370

Phone: 4402606835

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.