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JACKSON RED
NPI 1013466820
Counselor - Mental Health in Chula Vista, CA

Active since September 22, 2016
1196 THIRD AVE, CHULA VISTA, CA 91911(619) 427-4661 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2018, Sep 22, 2016 (2 updates tracked since 2016).

About Jackson Red NPPES

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

JACKSON RED (NPI 1013466820) is an individual mental health provider in Chula Vista, California, licensed in California (84466) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1013466820
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACKSON RED
Location Address1196 THIRD AVEChula Vista, CA 91911-3131
Mailing Address1196 Third AveChula Vista, CA 91911-3131 · (619) 427-4661
Phone(619) 427-4661
Sole ProprietorNo
Enumeration DateSeptember 22, 2016
Last NPPES UpdateOctober 25, 20182 updates tracked since enumeration
✔ NPI 1013466820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 84466
1196 THIRD AVE, Chula Vista, CA 91911
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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.

DORA ALICIA JACOBO
Counselor (Mental Health)
1196 THIRD AVE
CHULA VISTA, CA 91911
San Diego County (619) 427-4661
BLAINE RIMER LMFT, LPCC
Marriage & Family Therapist
1196 THIRD AVE
CHULA VISTA, CA 91911
San Diego County (619) 427-4661
THANIA BELEN LOPEZ MARTINEZ
Interpreter
1196 THIRD AVE
CHULA VISTA, CA 91911
San Diego County (619) 427-4661
MS. FADERERA ADETOLA SANDA
Student in an Organized Health Care Education/Training Program
1196 THIRD AVE
CHULA VISTA, CA 91911
San Diego County (619) 427-4661
CRYSTAL BAUTISTA
Student in an Organized Health Care Education/Training Program
1196 THIRD AVE
CHULA VISTA, CA 91911
San Diego County (619) 427-4661
BERENICE FLORES
Marriage & Family Therapist
1196 THIRD AVE
CHULA VISTA, CA 91911
San Diego County (619) 427-4661
DENISE LEYVA MONTES
Registered Nurse
1196 THIRD AVE
CHULA VISTA, CA 91911
San Diego County (619) 427-7466
MRS. SHANNON HEYWARD
Social Worker (Clinical)
1196 THIRD AVE
CHULA VISTA, CA 91911
San Diego County (619) 427-4661

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 Jackson Red's NPI number?

The NPI number for Jackson Red is 1013466820. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Jackson Red located?

Jackson Red practices at 1196 Third Ave, Chula Vista, CA 91911. The listed phone number is (619) 427-4661.

What is Jackson Red'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 Jackson Red was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.