SHANEE DOMONIQUE JACKSON
NPI 1255262887
Substance Abuse Rehabilitation Facility in Stockton, CA
NPI Status: Active since May 25, 2026
Contact Information
819 E HAMMER LN APT 139
STOCKTON, CA
ZIP 95210
Phone: (209) 983-7290
This NPI profile has been added to the NPI registry within the last 30 days.
- Individual
- Female
- Substance Abuse Rehabilitation Facility
About SHANEE JACKSON
This page provides the complete NPI Profile along with additional information for Shanee Jackson, a provider established in Stockton, California with a medical specialization in Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1255262887 assigned on May 2026. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an individual and her NPI record was last updated May 2026.
- NPI
- 1255262887
- Provider Name
- SHANEE DOMONIQUE JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 819 E HAMMER LN APT 139 STOCKTON, CA 95210
- Location Phone
- (209) 983-7290
- Mailing Address
- 819 E HAMMER LN APT 139 STOCKTON, CA 95210
- Mailing Phone
- (209) 983-7290
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-25-2026
- Last Update Date
- 05-25-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License State
- CA
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 25707 |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255262887, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255262887, enumerated as an "individual" on May 25, 2026.
The provider is located at 819 E HAMMER LN APT 139 STOCKTON, CA 95210 and the phone number is (209) 983-7290.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
