NICOLETTE GISELE JACKSON
NPI 1033995311
Marriage & Family Therapist in Campbell, CA

Active since September 04, 2023
251 LLEWELLYN AVE, CAMPBELL, CA 95008(408) 379-9085 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2025, Mar 28, 2025, Oct 11, 2024 and 2 more (5 updates tracked since 2023).

About Nicolette Gisele Jackson NPPES

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

NICOLETTE GISELE JACKSON (NPI 1033995311) is an individual marriage & family therapist in Campbell, California, licensed in California (154244) and active in the NPI registry since September 2023. She maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1033995311
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLETTE GISELE JACKSON
Location Address251 LLEWELLYN AVECampbell, CA 95008-1940
Mailing Address1922 The Alameda Ste 316San Jose, CA 95126-1461 · (408) 261-7777 · Fax (408) 642-6052
Sole ProprietorNo
Enumeration DateSeptember 4, 2023
Last NPPES UpdateApril 1, 20255 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1033995311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 154244
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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
251 LLEWELLYN AVE, Campbell, CA 95008

Secondary Practice Location 1

Location 1652 Forest AvePalo Alto, CA 94301-2622 · Phone (650) 323-1401 · Fax (408) 642-6052

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.

Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Behavior Technician
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Behavior Technician
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Social Worker (Clinical)
251 LLEWELLYN AVE
CAMPBELL, CA 95008

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 Nicolette Jackson's NPI number?

The NPI number for Nicolette Jackson is 1033995311. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Nicolette Jackson located?

Nicolette Jackson practices at 251 Llewellyn Ave, Campbell, CA 95008. The listed phone number is (408) 379-9085.

What is Nicolette Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicolette Jackson was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.