JACKSON FAMILY THERAPY LLC
NPI 1043925266
Counselor - Mental Health in Hesperia, CA

Q: What is Jackson Family Therapy LLC's NPI number?

The NPI number for Jackson Family Therapy LLC is 1043925266. It was assigned to this organization in the NPPES registry on January 23, 2023.

Q: What is Jackson Family Therapy LLC's specialty?

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

Active since January 23, 2023

17565 EL CAJON DR, HESPERIA, CA 92345(760) 979-8058 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackson Family Therapy Llc NPPES

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

JACKSON FAMILY THERAPY LLC (NPI 1043925266) is a healthcare organization registered as a mental health in Hesperia, California and active in the NPI registry since January 2023. The organization lists Andre Nakromba Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1043925266

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameJACKSON FAMILY THERAPY LLC

Location Address17565 EL CAJON DRHesperia, CA 92345-7218

Mailing Address17565 El Cajon DrHesperia, CA 92345-7218 · (760) 979-8058

Phone(760) 979-8058

Organization SubpartNo

Authorized OfficialAndre Nakromba JacksonOwner · (619) 949-4476

Enumeration DateJanuary 23, 2023

NPPES CertifiedJanuary 22, 2023

✔ NPI 1043925266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

17565 EL CAJON DR, Hesperia, CA 92345

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Family Therapy LLC's NPI number?

The NPI number for Jackson Family Therapy LLC is 1043925266. It was assigned to this organization in the NPPES registry on January 23, 2023.

Where is Jackson Family Therapy LLC located?

Jackson Family Therapy LLC is located at 17565 El Cajon Dr, Hesperia, CA 92345. The listed phone number is (760) 979-8058.

What is Jackson Family Therapy LLC'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 Family Therapy LLC was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.