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JACKSON HOUSE EL CENTRO
NPI 1063369528
Counselor - Mental Health in El Centro, CA

Active since March 13, 2026CLIA 05D2316801 · Waiver
2364 S 2ND ST, EL CENTRO, CA 92243(760) 332-3303(760) 332-1463 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson House El Centro NPPES

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

JACKSON HOUSE EL CENTRO (NPI 1063369528) is a healthcare organization registered as a mental health in El Centro, California and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Carolina Rivas, Counselor, as its authorized official.

NPPES Registry Identity

NPI1063369528
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJACKSON HOUSE EL CENTRO
Location Address2364 S 2ND STEl Centro, CA 92243-9642
Mailing Address2364 S 2nd StEl Centro, CA 92243-9642 · (760) 332-3303 · Fax (760) 332-1463
Phone(760) 332-3303
Fax(760) 332-1463
Organization SubpartNo
Authorized OfficialCarolina RivasCounselor · (760) 332-3303
Enumeration DateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1063369528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2364 S 2ND ST, El Centro, CA 92243
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2316801

Bh-Ic Opco, LLC Dba Jackson House El Centro · El Centro, CA
Active · expires Jan 12, 2027
CLIA Number05D2316801
Laboratory TypeComp Residential Rehab Fa
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorIrinel Chiriac
Laboratory Phone(760) 332-1468
Laboratory LocationBh-Ic Opco, LLC Dba Jackson House El Centro2364 S 2nd St, El Centro, CA 92243
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

ANTHONY A BRAMBILA RN
Registered Nurse
2364 S 2ND ST
EL CENTRO, CA 92243
Imperial County (760) 332-1468
RICARDO A LIZARRAGA PALAFOX
Technician
2364 S 2ND ST
EL CENTRO, CA 92243
Imperial County (760) 332-1468
NADIA MADERO
Technician
2364 S 2ND ST
EL CENTRO, CA 92243
Imperial County (760) 332-3303
MARITZA GALLO
Counselor (Mental Health)
2364 S 2ND ST
EL CENTRO, CA 92243
Imperial County (760) 332-1468
BRANDON L. SIMMONS
Technician
2364 S 2ND ST
EL CENTRO, CA 92243
Imperial County (760) 332-1468
ANGEL MADERO
Technician
2364 S 2ND ST
EL CENTRO, CA 92243
Imperial County (760) 332-1468
DANIELA N GUTIERREZ
Technician
2364 S 2ND ST
EL CENTRO, CA 92243
Imperial County (760) 332-1468
DAVID DIAZ
Technician
2364 S 2ND ST
EL CENTRO, CA 92243
Imperial County (760) 332-3303

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 House El Centro's NPI number?

The NPI number for Jackson House El Centro is 1063369528. It was assigned to this organization in the NPPES registry on March 13, 2026.

Where is Jackson House El Centro located?

Jackson House El Centro is located at 2364 S 2nd St, El Centro, CA 92243. The listed phone number is (760) 332-3303.

What is Jackson House El Centro's specialty?

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

Does Jackson House El Centro hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2316801) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackson House El Centro was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.