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MS. KIYUNDA RENEE NICOLE JACKSON
NPI 1073984662
Peer Specialist in Los Angeles, CA

Active since October 08, 2015
8019 COMPTON AVE, LOS ANGELES, CA 90001(323) 586-7333 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, May 15, 2025, Dec 12, 2022 and 2 more (5 updates tracked since 2018).

About Ms. Kiyunda Renee Nicole Jackson NPPES

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

MS. KIYUNDA RENEE NICOLE JACKSON (NPI 1073984662) is an individual peer specialist in Los Angeles, California and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1073984662
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. KIYUNDA RENEE NICOLE JACKSON
Location Address8019 COMPTON AVELos Angeles, CA 90001
Mailing Address8019 Compton AveLos Angeles, CA 90001-3409 · (323) 586-7333
Phone(323) 586-7333
Sole ProprietorNo
Enumeration DateOctober 8, 2015
Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1073984662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
8019 COMPTON AVE, Los Angeles, CA 90001
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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.

ADRIANA YAMILET SALGUERO
Social Worker
8019 COMPTON AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
THOMAS MACKEY
Marriage & Family Therapist
8019 COMPTON AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
ARNOLD ACQUAH
Counselor (Mental Health)
8019 COMPTON AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
MADISON FOSTER
Rehabilitation Practitioner
8019 COMPTON AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
ALICIA HERRERA
Counselor (Mental Health)
8019 COMPTON AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
NICHELLE SPACE
Marriage & Family Therapist
8019 COMPTON AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333
ARTHUR MACK III
Student in an Organized Health Care Education/Training Program
8019 COMPTON AVE
LOS ANGELES, CA 90001
Los Angeles County (310) 678-2422
MS. NICHELLE SHAUNTECE WARD
Social Worker (Clinical)
8019 COMPTON AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 586-7333

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 Kiyunda Jackson's NPI number?

The NPI number for Kiyunda Jackson is 1073984662. It was assigned to this individual provider in the NPPES registry on October 8, 2015.

Where is Kiyunda Jackson located?

Kiyunda Jackson practices at 8019 Compton Ave, Los Angeles, CA 90001. The listed phone number is (323) 586-7333.

What is Kiyunda Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kiyunda Jackson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.