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MR. CEDRIC JACKSON JR.
NPI 1295426336
Counselor in Kentfield, CA

Active since May 18, 2023
1109 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904(415) 256-9995 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, May 18, 2023 (2 updates tracked since 2023).

About Mr. Cedric Jackson Jr. NPPES

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

MR. CEDRIC JACKSON JR. (NPI 1295426336) is an individual counselor in Kentfield, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1295426336
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. CEDRIC JACKSON JR.
Location Address1109 SIR FRANCIS DRAKE BLVDKentfield, CA 94904-1418
Mailing Address2000 Post St Apt 145San Francisco, CA 94115-3574 · (415) 735-5858
Phone(415) 256-9995
Sole ProprietorYes
Enumeration DateMay 18, 2023
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1295426336 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.
1109 SIR FRANCIS DRAKE BLVD, Kentfield, CA 94904
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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.

DUSTIN JACOBSEN
Counselor
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995
JASON SASHA EWBANK
Day Training/Habilitation Specialist
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995
JEANETTE MEIGUEZ
Peer Specialist
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995
KANE RENE HERNANDEZ
Counselor (Mental Health)
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 457-6966
MS. JOHANNA TYLER ANDERSON M.ED.
Case Manager/Care Coordinator
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 473-6666
LAURA TURNER
Counselor
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995
ASHLEIGH DANIELLE LOPEZ
Rehabilitation Practitioner
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 457-6964
EMILY ROSE BARBERA
Counselor
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995

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 Cedric Jackson's NPI number?

The NPI number for Cedric Jackson is 1295426336. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Cedric Jackson located?

Cedric Jackson practices at 1109 Sir Francis Drake Blvd, Kentfield, CA 94904. The listed phone number is (415) 256-9995.

What is Cedric 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 Cedric Jackson was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.