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JACKELIN ELLIOTT
NPI 1104299544
Counselor - School in San Jose, CA

Active since November 06, 2015
1401 PARKMOOR AVE STE 230, SAN JOSE, CA 95126(408) 508-7700 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackelin Elliott NPPES

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

JACKELIN ELLIOTT (NPI 1104299544) is an individual school provider in San Jose, California and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1104299544
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameJACKELIN ELLIOTT
Location Address1401 PARKMOOR AVE STE 230San Jose, CA 95126-3407
Mailing Address4632 Alhambra DrFremont, CA 94536-5427 · (831) 821-9834
Phone(408) 508-7700
Sole ProprietorYes
Enumeration DateNovember 6, 2015
✔ NPI 1104299544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
1401 PARKMOOR AVE STE 230, San Jose, CA 95126
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YESSENIA MORALES-SANCHEZ
Counselor
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822
JASMIN RAE ANDERSON
Counselor
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822
CINDY LEM
Counselor
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822
JIMMY CHARLES HENRY JR.
Case Manager/Care Coordinator
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126
Santa Clara County (408) 258-7343
CHUKWUEMEKA MBADIWE
Counselor (Mental Health)
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822
MS. WENDY ANN BROTHERTON
Specialist
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126
Santa Clara County (408) 972-8822
MS. ALANA HOLLIE
Counselor
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822
MIRANDA MICHELLE HERRERA
Counselor
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822

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 Jackelin Elliott's NPI number?

The NPI number for Jackelin Elliott is 1104299544. It was assigned to this individual provider in the NPPES registry on November 6, 2015.

Where is Jackelin Elliott located?

Jackelin Elliott practices at 1401 Parkmoor Ave Ste 230, San Jose, CA 95126. The listed phone number is (408) 508-7700.

What is Jackelin Elliott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Jackelin Elliott was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.