JACKSON HOUSE EL CENTRO
NPI 1063369528
Counselor - Mental Health in El Centro, CA
NPI Status: Active since March 13, 2026
Contact Information
2364 S 2ND ST
EL CENTRO, CA
ZIP 92243
Phone: (760) 332-3303
Fax: (760) 332-1463
- Organization
- Counselor
- Mental Health
- CLIA Number: 05D2316801
- CLIA Cert. Type: Other - COMP RESIDENTIAL REHAB FA
- CLIA Exp. Date: 01-12-2027
About JACKSON HOUSE EL CENTRO
This page provides the complete NPI Profile along with additional information for Jackson House El Centro, a provider established in El Centro, California operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1063369528 assigned on March 2026. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated March 2026. Jackson House El Centro operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Carolina Rivas Amft (Counselor)
- NPI
- 1063369528
- Provider Name
- JACKSON HOUSE EL CENTRO
- Entity Type
- Organization
- Location Address
- 2364 S 2ND ST EL CENTRO, CA 92243
- Location Phone
- (760) 332-3303
- Location Fax
- (760) 332-1463
- Mailing Address
- 2364 S 2ND ST EL CENTRO, CA 92243
- Mailing Phone
- (760) 332-3303
- Mailing Fax
- (760) 332-1463
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2026
- Last Update Date
- 03-13-2026
- Code Navigator
A mental health counselor like Jackson House El Centro provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2316801
- Facility Type
- Other - COMP RESIDENTIAL REHAB FA
- Certificate Effective Date
- January 13, 2025
- Certificate Expiration Date
- January 12, 2027
- Laboratory Director
- IRINEL CHIRIAC
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jackson House El Centro to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063369528, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
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The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063369528, enumerated as an "organization" on March 13, 2026.
The provider is located at 2364 S 2ND ST EL CENTRO, CA 92243 and the phone number is (760) 332-3303.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
