1. Home
  2. Directory
  3. California
  4. Venice
  5. Counselor
  6. NPI Profile

TY'SHUNNA JACKSON
NPI 1154518835
Counselor - Addiction (Substance Use Disorder) in Venice, CA

Active since September 26, 2007
717 LINCOLN BLVD, VENICE, CA 90291(310) 399-9883 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ty'shunna Jackson NPPES

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

TY'SHUNNA JACKSON (NPI 1154518835) is an individual addiction (substance use disorder) provider in Venice, California and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1154518835
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTY'SHUNNA JACKSON
Location Address717 LINCOLN BLVDVenice, CA 90291-2845
Mailing Address26460 Summit CirSanta Clarita, CA 91350-2991
Phone(310) 399-9883
Sole ProprietorYes
Enumeration DateSeptember 26, 2007
✔ NPI 1154518835 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
717 LINCOLN BLVD, Venice, CA 90291
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

ALEXIS LEDESMA I
Licensed Vocational Nurse
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
SANDRA DIANE KELLAR RADT
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
EL DORADO COMMUNITY SERVICE CENTER
Clinic/Center (Primary Care)
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
ESTEFANIA BERNABE RADT
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
AMERICAN HEALTH SERVICES LLC
Clinic/Center (Methadone)
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
ANTONIO DE JESUS SANCHEZ
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
AMERICAN HEALTH SERVICES LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
GERTRUDE BRIGGS
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883

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 Ty'shunna Jackson's NPI number?

The NPI number for Ty'shunna Jackson is 1154518835. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Ty'shunna Jackson located?

Ty'shunna Jackson practices at 717 Lincoln Blvd, Venice, CA 90291. The listed phone number is (310) 399-9883.

What is Ty'shunna 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 Ty'shunna Jackson was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.