JUDITH ANN JACKSON
NPI 1104100775
Counselor - Mental Health in Santa Cruz, CA

Active since September 30, 2011
1400 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4971 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judith Ann Jackson NPPES

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

JUDITH ANN JACKSON (NPI 1104100775) is an individual mental health provider in Santa Cruz, California and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1104100775
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJUDITH ANN JACKSON
Location Address1400 EMELINE AVESanta Cruz, CA 95060-1976
Mailing Address1400 Emeline AveSanta Cruz, CA 95060-1976
Sole ProprietorNo
Enumeration DateSeptember 30, 2011
Last NPPES UpdateNovember 1, 2012
NPI 1104100775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1400 EMELINE AVE, Santa Cruz, CA 95060

Other Identifiers 3

OtherZZZ91892ZCA · County Of Santa Cruz Medicare Group#
OtherFHC70044FCA · County Of Santa Cruz Medi-cal Provider#
OtherFHC70042FCA · County Of Santa Cruz Medi-cal Provider#

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.

Technician, Health Information (Assistant Record Technician)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Physician Assistant (Medical)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Nurse's Aide
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Counselor (Mental Health)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Marriage & Family Therapist
1400 EMELINE AVE
SANTA CRUZ, CA 95060

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 Judith Jackson's NPI number?

The NPI number for Judith Jackson is 1104100775. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Judith Jackson located?

Judith Jackson practices at 1400 Emeline Ave, Santa Cruz, CA 95060. The listed phone number is (831) 454-4971.

What is Judith 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 Judith Jackson was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.