WILLIE LEE JACKSON JR.
NPI 1013143395
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since June 01, 2009
157 SANTA BARBARA PLZ, LOS ANGELES, CA 90008(323) 293-2717 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willie Lee Jackson Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE LEE JACKSON JR. (NPI 1013143395) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1013143395
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWILLIE LEE JACKSON JR.
Location Address157 SANTA BARBARA PLZLos Angeles, CA 90008-2508
Mailing Address157 Santa Barbara PlzLos Angeles, CA 90008-2508 · (323) 293-2717
Sole ProprietorYes
Enumeration DateJune 1, 2009
NPI 1013143395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
157 SANTA BARBARA PLZ, Los Angeles, CA 90008

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
157 SANTA BARBARA PLZ
LOS ANGELES, CA 90008
Community/Behavioral Health
157 SANTA BARBARA PLZ
LOS ANGELES, CA 90008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Jackson's NPI number?

The NPI number for Willie Jackson is 1013143395. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Willie Jackson located?

Willie Jackson practices at 157 Santa Barbara Plz, Los Angeles, CA 90008. The listed phone number is (323) 293-2717.

What is Willie Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Willie Jackson was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.