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TYRON JACKSON
NPI 1093446387
Counselor - Mental Health in Riverside, CA

Active since June 18, 2022
5051 CANYON CREST DR STE 204, RIVERSIDE, CA 92507(951) 682-1488 Get Directions Write a Review

NPPES record last updated: June 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyron Jackson NPPES

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

TYRON JACKSON (NPI 1093446387) is an individual mental health provider in Riverside, California and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1093446387
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTYRON JACKSON
Location Address5051 CANYON CREST DR STE 204Riverside, CA 92507-6035
Mailing Address5051 Canyon Crest Dr Ste 204Riverside, CA 92507-6035 · (951) 682-1488
Phone(951) 682-1488
Sole ProprietorNo
Enumeration DateJune 18, 2022
NPPES CertifiedJune 18, 2022
✔ NPI 1093446387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5051 CANYON CREST DR STE 204, Riverside, CA 92507
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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.

JOSUE ESPERANTE MA
Student in an Organized Health Care Education/Training Program
5051 CANYON CREST DR STE 204
RIVERSIDE, CA 92507
Riverside County (951) 682-1488
OLGA I ROBLES AMFT
Marriage & Family Therapist
5051 CANYON CREST DR STE 204
RIVERSIDE, CA 92507
Riverside County (951) 682-1488
DANAE HARRIS MSW, ASW
Social Worker
5051 CANYON CREST DR STE 204
RIVERSIDE, CA 92507
Riverside County (951) 682-1488
JACLYN CASCIO PSYD
Psychologist
5051 CANYON CREST DR STE 204
RIVERSIDE, CA 92507
Riverside County (951) 682-1488
DELANEY FENNELL
Marriage & Family Therapist
5051 CANYON CREST DR STE 204
RIVERSIDE, CA 92507
Riverside County (951) 682-1488
MS. CAROL L DAVIDSON
Marriage & Family Therapist
5051 CANYON CREST DR STE 204
RIVERSIDE, CA 92507
Riverside County (951) 682-1488
MISS ALEXA JEANINE BUSTAMANTE M.S., APCC
Counselor (Mental Health)
5051 CANYON CREST DR STE 204
RIVERSIDE, CA 92507
Riverside County (951) 682-1488
ALEXIS JOHNSON
Marriage & Family Therapist
5051 CANYON CREST DR STE 204
RIVERSIDE, CA 92507
Riverside County (951) 682-1488

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 Tyron Jackson's NPI number?

The NPI number for Tyron Jackson is 1093446387. It was assigned to this individual provider in the NPPES registry on June 18, 2022.

Where is Tyron Jackson located?

Tyron Jackson practices at 5051 Canyon Crest Dr Ste 204, Riverside, CA 92507. The listed phone number is (951) 682-1488.

What is Tyron Jackson'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 Tyron Jackson was last updated on June 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.