ANGELINA C. JACKSON – NPI #1922979814
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

ANGELINA JACKSON is a peer specialist located in COLUMBUS, OH. NPPES has assigned the NPI number 1922979814 to ANGELINA JACKSON on September 15, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for ANGELINA JACKSON below.

NPI Profile for
ANGELINA C. JACKSON

NPI Number
1922979814
Enumeration Date

(about 9 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANGELINA C. JACKSON
Primary location
1453 E MAIN ST
COLUMBUS, OH 43205-2152
Phone: (614) 671-2903 Fax:
Mailing address
296 CULLMAN RD
COLUMBUS, OH 43207-3022
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)
OH APS.006755

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.