MS. JACKIE BUSTAMANTE
NPI 1174682009
Marriage & Family Therapist in Banning, CA

Q: What is Jackie Bustamante's NPI number?

The NPI number for Jackie Bustamante is 1174682009. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Jackie Bustamante's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Bustamante was last updated on February 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 06, 2006

2200 W WILSON ST SPC 33, BANNING, CA 92220(840) 336-3506 Get Directions Write a Review

NPPES record last updated: February 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Jackie Bustamante NPPES

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

MS. JACKIE BUSTAMANTE (NPI 1174682009) is an individual marriage & family therapist in Banning, California, licensed in California (30317) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1174682009

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. JACKIE BUSTAMANTE

Location Address2200 W WILSON ST SPC 33Banning, CA 92220-3953

Mailing Address6444 E Spring St # 179Long Beach, CA 90815-1553 · (562) 706-1072

Phone(840) 336-3506

Sole ProprietorYes

Enumeration DateDecember 6, 2006

Last NPPES UpdateFebruary 22, 2026

NPPES CertifiedFebruary 22, 2026

✔ NPI 1174682009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 30317

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2200 W WILSON ST SPC 33, Banning, CA 92220

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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 Jackie Bustamante's NPI number?

The NPI number for Jackie Bustamante is 1174682009. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Jackie Bustamante located?

Jackie Bustamante practices at 2200 W Wilson St Spc 33, Banning, CA 92220. The listed phone number is (840) 336-3506.

What is Jackie Bustamante's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jackie Bustamante was last updated on February 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.