MR. WAYNE HARRISON JACKSON
NPI 1013245828
Counselor - Mental Health in Camarillo, CA

Active since December 07, 2009
1722 S LEWIS RD, CAMARILLO, CA 93012(805) 928-8622 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Wayne Harrison Jackson NPPES

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

MR. WAYNE HARRISON JACKSON (NPI 1013245828) is an individual mental health provider in Camarillo, California and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1013245828
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. WAYNE HARRISON JACKSON
Location Address1722 S LEWIS RDCamarillo, CA 93012-8520
Mailing Address124 Carmen Ln Ste J-lSanta Maria, CA 93458-7768 · (805) 928-8622
Sole ProprietorNo
Enumeration DateDecember 7, 2009
NPI 1013245828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1722 S LEWIS RD, Camarillo, CA 93012

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Psychologist
1722 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Community Health Worker
1722 S LEWIS RD
CAMARILLO, CA 93012
Licensed Vocational Nurse
1722 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Marriage & Family Therapist
1722 S LEWIS RD
CAMARILLO, CA 93012
Recreation Therapist
1722 S LEWIS RD
CAMARILLO, CA 93012

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 Wayne Jackson's NPI number?

The NPI number for Wayne Jackson is 1013245828. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Wayne Jackson located?

Wayne Jackson practices at 1722 S Lewis Rd, Camarillo, CA 93012. The listed phone number is (805) 928-8622.

What is Wayne Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Wayne Jackson was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.