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SHYRA D'ANN JACKSON
NPI 1134635824
Counselor - Addiction (Substance Use Disorder) in Richmond, CA

Active since December 18, 2017
12960 SAN PABLO AVE, RICHMOND, CA 94805(510) 215-2280(510) 215-2283 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shyra D'ann Jackson NPPES

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

SHYRA D'ANN JACKSON (NPI 1134635824) is an individual addiction (substance use disorder) provider in Richmond, California, licensed in California (12554-R) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1134635824
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHYRA D'ANN JACKSON
Location Address12960 SAN PABLO AVERichmond, CA 94805-1307
Mailing Address1901 Church LnSan Pablo, CA 94806-3707 · (510) 215-2280 · Fax (510) 215-2283
Phone(510) 215-2280
Fax(510) 215-2283
Sole ProprietorNo
Enumeration DateDecember 18, 2017
✔ NPI 1134635824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 12554-R
12960 SAN PABLO AVE, Richmond, CA 94805
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Other Providers at the Same Location NPPES 13

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

JUAN JOSE BOLANOS
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
DONNA MARIE YOURY
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
UJMA FAMILY RECOVERY SERVICES
Community/Behavioral Health
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
BERNICE WIVAGG
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
CHELSEY ELIZABETH CARDENAS REYNOLDS SURDC
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280
EDWIN JAMES MACCASKIE AOD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 236-3139
LARON WILSON
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2800
ALAREN LEE FRAZIER
Counselor (Addiction (Substance Use Disorder))
12960 SAN PABLO AVE
RICHMOND, CA 94805
Contra Costa County (510) 215-2280

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 Shyra Jackson's NPI number?

The NPI number for Shyra Jackson is 1134635824. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Shyra Jackson located?

Shyra Jackson practices at 12960 San Pablo Ave, Richmond, CA 94805. The listed phone number is (510) 215-2280.

What is Shyra Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shyra Jackson was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.