MS. KRISTINA JACKSON MFT
NPI 1023477114
Marriage & Family Therapist in Hermosa Beach, CA

Active since February 17, 2016Opted out of Medicare · through Apr 9, 2027
2309 PACIFIC COAST HWY, SUITE 102, HERMOSA BEACH, CA 90254(310) 480-7324 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kristina Jackson Mft NPPES

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

MS. KRISTINA JACKSON MFT (NPI 1023477114) is an individual marriage & family therapist in Hermosa Beach, California, licensed in California (MFC35584) and active in the NPI registry since February 2016. She has opted out of Medicare through April 9, 2027.

NPPES Registry Identity

NPI1023477114
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KRISTINA JACKSONCredential: MFT
Location Address2309 PACIFIC COAST HWY, SUITE 102Hermosa Beach, CA 90254-2751
Mailing Address2309 Pacific Coast Hwy, Suite 102Hermosa Beach, CA 90254-2751 · (310) 480-7324
Sole ProprietorYes
Enumeration DateFebruary 17, 2016
NPI 1023477114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC35584
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2309 PACIFIC COAST HWY, Hermosa Beach, CA 90254

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Kristina Jackson Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 9, 2025 through April 9, 2027.

Opt-Out Effective DateApril 9, 2025
Opt-Out In Effect ThroughApril 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

Psychologist (Clinical)
2309 PACIFIC COAST HWY, SUITE #207
HERMOSA BEACH, CA 90254
Social Worker (Clinical)
2309 PACIFIC COAST HWY, SUITE 104
HERMOSA BEACH, CA 90254
Marriage & Family Therapist
2309 PACIFIC COAST HWY
HERMOSA BEACH, CA 90254
Marriage & Family Therapist
2309 PACIFIC COAST HWY, STE #207
HERMOSA BEACH, CA 90254
Social Worker (Clinical)
2309 PACIFIC COAST HWY, #104
HERMOSA BEACH, CA 90254
Marriage & Family Therapist
2309 PACIFIC COAST HWY
HERMOSA BEACH, CA 90254
Counselor (Mental Health)
2309 PACIFIC COAST HWY
HERMOSA BEACH, CA 90254
Marriage & Family Therapist
2309 PACIFIC COAST HWY, SUITE 102
HERMOSA BEACH, CA 90254

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 Kristina Jackson's NPI number?

The NPI number for Kristina Jackson is 1023477114. It was assigned to this individual provider in the NPPES registry on February 17, 2016.

Where is Kristina Jackson located?

Kristina Jackson practices at 2309 Pacific Coast Hwy Suite 102, Hermosa Beach, CA 90254. The listed phone number is (310) 480-7324.

What is Kristina Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kristina Jackson enrolled in Medicare?

No. Kristina Jackson has opted out of Medicare through April 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristina Jackson was last updated on February 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.