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

Tayanna I Jackson

Individual provider Mental Health Counselor · NPI 1245716646

Tayanna I Jackson is a Mental Health Counselor in Cleveland Heights, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2490 Lee Blvd Ste 103
Cleveland Heights, OH 44118-1255
Phone: (216) 835-5212
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (OH)
Mental Health Counselor Taxonomy 101YM0800X (OH)

Record details

NPI number1245716646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2018
Last updated in NPPESJuly 18, 2018
Mailing address2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255

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