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

Stephanie Jackson, OCPRS

Individual provider Peer Specialist · NPI 1215514120

Stephanie Jackson, OCPRS is a Peer Specialist in Beachwood, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637
Phone: (216) 910-9015
Fax: (216) 910-9015
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 0002256 (OH)

Record details

NPI number1215514120
Entity typeIndividual (Type 1)
GenderFemale
Credentials OCPRS
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address8414 Whittington Dr, Parma, OH 44129-3516

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