Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
DARCEL DENISE JACKSON
NPI 1144712696
Counselor - Addiction (Substance Use Disorder) in Costa Mesa, CA
Active since May 31, 2018
About Darcel Denise Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARCEL DENISE JACKSON (NPI 1144712696) is an individual addiction (substance use disorder) provider in Costa Mesa, California, licensed in California (12043) and active in the NPI registry since May 2018.
NPPES Registry Identity
NPI1144712696
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDARCEL DENISE JACKSON
Location Address275 VICTORIA ST STE 1HCosta Mesa, CA 92627-1906
Mailing Address275 Victoria St Ste 1hCosta Mesa, CA 92627-1906 · (949) 629-2862
Phone(949) 629-2862
Sole ProprietorYes
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 8, 20266 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1144712696 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 · 12043
275 VICTORIA ST STE 1H, Costa Mesa, CA 92627
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
COSTA MESA, CA 92627
Registered Nurse (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
COSTA MESA, CA 92627
Registered Nurse (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
COSTA MESA, CA 92627
Counselor (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
COSTA MESA, CA 92627
Counselor (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
COSTA MESA, CA 92627
Counselor (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
COSTA MESA, CA 92627
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144712696, enumerated as an "individual" on May 31, 2018.
The provider is located at 275 VICTORIA ST STE 1H COSTA MESA, CA 92627 and the phone number is (949) 629-2862.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
