ANGELIQUE ALLYSSA JACKSON
NPI 1104577147
Peer Specialist in Oceanside, CA

Q: What is Angelique Jackson's NPI number?

The NPI number for Angelique Jackson is 1104577147. It was assigned to this individual provider in the NPPES registry on January 11, 2022. The provider is also known as Angelique Allyssa Hays.

Q: What is Angelique Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angelique Jackson was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 11, 2022

2122 S EL CAMINO REAL STE 201, OCEANSIDE, CA 92054(760) 290-8170(760) 439-0019 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angelique Allyssa Jackson NPPES

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

ANGELIQUE ALLYSSA JACKSON (NPI 1104577147) is an individual peer specialist in Oceanside, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1104577147

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameANGELIQUE ALLYSSA JACKSON

Location Address2122 S EL CAMINO REAL STE 201Oceanside, CA 92054-6210

Mailing Address2122 S El Camino Real Ste 201Oceanside, CA 92054-6210 · (760) 290-8170 · Fax (760) 439-0019

Phone(760) 290-8170

Fax(760) 439-0019

Sole ProprietorNo

Enumeration DateJanuary 11, 2022

NPPES CertifiedJanuary 11, 2022

✔ NPI 1104577147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2122 S EL CAMINO REAL STE 201, Oceanside, CA 92054

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Other Names 1

Former Name (1)Angelique Allyssa Hays

Other Providers at the Same Location NPPES

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

ACTIVHEALING TREATMENT CENTER, A MARRIAGE AND FAMILY THERAPY CORPORATION

Clinic/Center (Adult Mental Health)

2122 S EL CAMINO REAL STE 201
OCEANSIDE, CA 92054

San Diego County (619) 354-0107

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 Angelique Jackson's NPI number?

The NPI number for Angelique Jackson is 1104577147. It was assigned to this individual provider in the NPPES registry on January 11, 2022. The provider is also known as Angelique Allyssa Hays.

Where is Angelique Jackson located?

Angelique Jackson practices at 2122 S El Camino Real Ste 201, Oceanside, CA 92054. The listed phone number is (760) 290-8170.

What is Angelique 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 Angelique Jackson was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.