Jackson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

JACKSON

Practice address

56 Warren St FL 2
Roxbury, MA 02119-3236

Phone

(857) 364-1103

NPI assigned

Mar 18, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shynna JacksonNPI 1932534344

Title

Founder-Director of Program Operati

Phone

(857) 350-6060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shynna Jackson

  • Counselor
  • Roxbury, MA
  • NPI 1932534344
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1376491035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WARREN ST FL 2",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193236",
            "telephone_number": "857-364-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WARREN ST FL 2",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193236",
            "telephone_number": "857-364-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHYNNA",
        "authorized_official_title_or_position": "FOUNDER-DIRECTOR OF PROGRAM OPERATI",
        "authorized_official_telephone_number": "857-350-6060"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Growth Therapy LLC
• Charles L Israel II
• Jude Iwu
• Jessica Oluchi Iwueze
• Golshid Izadi
• Adriaenna Jackson-Adams
• Ajaycia Jackson
• Danhai L Jackson
• Lornannette Jackson
• Lue Dee Jackson Jr., DMD, MD

• Case Manager/Care Coordinator in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Case Manager/Care Coordinator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.