| Cierra Jackson, LPCC | |
|
1560 Calder Ct, Fairborn, OH 45324 | |
| (937) 270-6259 | |
| Not Available |
| Full Name | Cierra Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1560 Calder Ct, Fairborn, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255706339 | NPI | - | NPPES |
| 0431711 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E.2001672 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 141105 (Ohio) | Primary |
| Entity Name | Reviving Solutions & Consulting Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407693559 PECOS PAC ID: 2769909514 Enrollment ID: O20250506001720 |
| Mailing Address | Practice Location Address |
|---|---|
| Cierra Jackson, LPCC 1560 Calder Ct, Fairborn, OH 45324-6904 Ph: (937) 270-6259 | Cierra Jackson, LPCC 1560 Calder Ct, Fairborn, OH 45324 Ph: (937) 270-6259 |
Sonia M Rapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-262-3508 Fax: 937-318-8918 | |
Bailey R Mcritchie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 566 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-390-3800 | |
Syreeta A Peacock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-754-0528 | |
Kyla Elswick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 W Funderburg Rd, Fairborn, OH 45324 Phone: 937-638-4483 | |
Tyshawna Frazer-new, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Laguna Ct Unit 206, Fairborn, OH 45324 Phone: 937-532-8624 | |
Jason Keating, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1082 Whitetail Dr, Fairborn, OH 45324 Phone: 614-787-3247 | |
Sophia Alridge, BS, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 Phone: 937-701-6631 |