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RICHARD JACKSON
NPI 1346476637
Counselor - Mental Health in San Carlos, CA

Active since June 01, 2009
957 INDUSTRIAL RD, SUITE B, SAN CARLOS, CA 94070(415) 375-1628 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Jackson NPPES

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

RICHARD JACKSON (NPI 1346476637) is an individual mental health provider in San Carlos, California and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1346476637
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRICHARD JACKSON
Location Address957 INDUSTRIAL RD, SUITE BSan Carlos, CA 94070-4151
Mailing Address841 San Bruno Ave WSan Bruno, CA 94066-3443 · (415) 375-7628
Phone(415) 375-1628
Sole ProprietorNo
Enumeration DateJune 1, 2009
✔ NPI 1346476637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
957 INDUSTRIAL RD, San Carlos, CA 94070
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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.

LEENA RICHMAN MSW, PPSC
Counselor (Mental Health)
957 INDUSTRIAL RD
SAN CARLOS, CA 94070
San Mateo County (650) 832-6900
MONIQUE YOUNG
Community Health Worker
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 571-4530
MS. MICHELE PELNAR MA
Marriage & Family Therapist
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 375-7621
ANA VASQUEZ MSW
Social Worker
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 318-0944
SETH J WRIGHT MA
Marriage & Family Therapist
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 730-7561
MR. MICHAEL CERVANTES SULLIVAN
Marriage & Family Therapist
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 375-7585
DOUGLAS DEORSEY
Counselor
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (650) 832-6900
CAROLINA SHAHVERDIYEVA B.A., B.S.
Counselor (Mental Health)
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (650) 832-6791

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1346476637. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Richard Jackson located?

Richard Jackson practices at 957 Industrial Rd Suite B, San Carlos, CA 94070. The listed phone number is (415) 375-1628.

What is Richard Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Richard Jackson was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.