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DWAINE JACKSON
NPI 1205249000
Counselor in Compton, CA

Active since June 09, 2014
1500 E KAY ST, COMPTON, CA 90221(310) 898-2450 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dwaine Jackson NPPES

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

DWAINE JACKSON (NPI 1205249000) is an individual counselor in Compton, California and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1205249000
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDWAINE JACKSON
Location Address1500 E KAY STCompton, CA 90221-1752
Mailing Address1500 E Kay StCompton, CA 90221-1752 · (310) 898-2450
Phone(310) 898-2450
Sole ProprietorNo
Enumeration DateJune 9, 2014
✔ NPI 1205249000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1500 E KAY ST, Compton, CA 90221
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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.

COVENA STEWART
Counselor (Mental Health)
1500 E KAY ST
COMPTON, CA 90221
Los Angeles County (310) 898-2450
JASMINE RHABURN
Case Manager/Care Coordinator
1500 E KAY ST
COMPTON, CA 90221
Los Angeles County (323) 242-5000
CAGEN REESE
Counselor (Mental Health)
1500 E KAY ST
COMPTON, CA 90221
Los Angeles County (310) 898-2450
CHARLES SNYDER
Counselor (Mental Health)
1500 E KAY ST
COMPTON, CA 90221
Los Angeles County (310) 898-2450
TAHJANAE NORTHCUTT
Marriage & Family Therapist
1500 E KAY ST
COMPTON, CA 90221
Los Angeles County (323) 242-5000
DORIAN WADE
Student in an Organized Health Care Education/Training Program
1500 E KAY ST
COMPTON, CA 90221
Los Angeles County (323) 242-5000
ALEXY DE PAZ
Case Manager/Care Coordinator
1500 E KAY ST
COMPTON, CA 90221
Los Angeles County (310) 898-2450
KEVIN SMITH
Counselor (Mental Health)
1500 E KAY ST
COMPTON, CA 90221
Los Angeles County (310) 898-2450

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 Dwaine Jackson's NPI number?

The NPI number for Dwaine Jackson is 1205249000. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Dwaine Jackson located?

Dwaine Jackson practices at 1500 E Kay St, Compton, CA 90221. The listed phone number is (310) 898-2450.

What is Dwaine Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Dwaine Jackson was last updated on June 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.