CHARLENE JACKSON
NPI 1073919379
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since November 13, 2014
1135 S ALVARADO ST, LOS ANGELES, CA 90006(323) 540-9016 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlene Jackson NPPES

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

CHARLENE JACKSON (NPI 1073919379) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1073919379
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLENE JACKSON
Location Address1135 S ALVARADO STLos Angeles, CA 90006-4100
Mailing Address1135 S Alvarado StLos Angeles, CA 90006-4100 · (323) 540-9016
Sole ProprietorNo
Enumeration DateNovember 13, 2014
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
NPI 1073919379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1135 S ALVARADO ST, Los Angeles, CA 90006

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.

Counselor (Addiction (Substance Use Disorder))
1135 S ALVARADO ST
LOS ANGELES, CA 90006
Social Worker (Clinical)
1135 S ALVARADO ST
LOS ANGELES, CA 90006
Counselor (Addiction (Substance Use Disorder))
1135 S ALVARADO ST
LOS ANGELES, CA 90006
Counselor (Addiction (Substance Use Disorder))
1135 S ALVARADO ST
LOS ANGELES, CA 90006
Counselor (Addiction (Substance Use Disorder))
1135 S ALVARADO ST
LOS ANGELES, CA 90006
Counselor (Addiction (Substance Use Disorder))
1135 S ALVARADO ST
LOS ANGELES, CA 90006
Counselor (Addiction (Substance Use Disorder))
1135 S ALVARADO ST
LOS ANGELES, CA 90006
Substance Abuse Rehabilitation Facility
1135 S ALVARADO ST
LOS ANGELES, CA 90006

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 Charlene Jackson's NPI number?

The NPI number for Charlene Jackson is 1073919379. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Charlene Jackson located?

Charlene Jackson practices at 1135 S Alvarado St, Los Angeles, CA 90006. The listed phone number is (323) 540-9016.

What is Charlene Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charlene Jackson was last updated on May 3, 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.