Tiffany Jackson
Individual provider Active NPI Case Manager/Care Coordinator · Brookfield, OH
NPI 1053968412 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1053968412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 7529 Warren Sharon Rd
Brookfield, OH 44403-9796 - Phone
- (740) 415-1138
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora-Recovery, LLC | Current |
Accepting new patients | |
| Aurora-Recovery, LLC | Current |
Accepting new patients |
Locations
7529 Warren Sharon Rd
Brookfield, OH 44403
Phone (330) 421-8247
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
7529 Warren Sharon Rd
Brookfield, OH 44403-9796
Mailing address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800
Other practice location 1
786 Ferndale Rd
Mansfield, OH 44907-1757
Phone (614) 844-3800
Other providers in Brookfield, OH
- Angie Hollins
- Brittany Holsinger
- Brandi Houk
- Kimberly Hughes
- Jennifer Irwin Echols
- Dawn James
- Angelina Jones
- Destiny Jones
- Stephanie Jones
- Yolanda Jones
All providers in Brookfield, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.