LYNETTE JACKSON
NPI 1154288256
Counselor - Mental Health in Modesto, CA

Q: What is Lynette Jackson's NPI number?

The NPI number for Lynette Jackson is 1154288256. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Q: What is Lynette Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Lynette Jackson was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 08, 2026

2200 STANDIFORD AVE APT 126, MODESTO, CA 95350(209) 569-3351(209) 290-3587 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lynette Jackson NPPES

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

LYNETTE JACKSON (NPI 1154288256) is an individual mental health provider in Modesto, California, licensed in California (202030210947) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1154288256

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLYNETTE JACKSON

Location Address2200 STANDIFORD AVE APT 126Modesto, CA 95350-6540

Mailing Address2200 Standiford Ave Apt 126Modesto, CA 95350-6540 · (209) 569-3351 · Fax (209) 290-3587

Phone(209) 569-3351

Fax(209) 290-3587

Sole ProprietorYes

Enumeration DateJanuary 8, 2026

Last NPPES UpdateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1154288256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 202030210947

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 202030210947 (CA)

Also ListedHealth and Wellness CoachTaxonomy 171400000X · License 202030210947 (CA)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 202030210947 (CA)

Also ListedContractorTaxonomy 171W00000X · License 202030210947 (CA)

Also ListedHealth EducatorTaxonomy 174H00000X · License 202030210947 (CA)

Also ListedHomeopathTaxonomy 175L00000X · License 202030210947 (CA)

Also ListedLocal Education Agency (LEA)Taxonomy 251300000X · License 202030210947 (CA)

Also ListedCase ManagementTaxonomy 251B00000X · License 202030210947 (CA)

Also ListedHome HealthTaxonomy 251E00000X · License 202030210947 (CA)

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 202030210947 (CA)

2200 STANDIFORD AVE APT 126, Modesto, CA 95350

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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 Lynette Jackson's NPI number?

The NPI number for Lynette Jackson is 1154288256. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Lynette Jackson located?

Lynette Jackson practices at 2200 Standiford Ave Apt 126, Modesto, CA 95350. The listed phone number is (209) 569-3351.

What is Lynette 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 Lynette Jackson was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.