Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diane R Jackson

Individual provider Counselor · NPI 1811056658

Diane R Jackson is a Counselor in Mansfield, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
3

Practice location Address checks out

87 W 4th St
Mansfield, OH 44903-1672
Phone: (419) 526-4603
Fax: (419) 526-4603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X · Licence E.0003808-SUPV (OH)
Counselor Taxonomy 101Y00000X · Licence E.0003808-SUPV (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence E.0003808-SUPV (OH)

Record details

NPI number1811056658
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1573, Mansfield, OH 44901-1573

Other providers in Mansfield