CHRISTOPHER MAZEDJIAN JACKSON
NPI 1346543139
Marriage & Family Therapist in Culver City, CA

Q: What is Christopher Jackson's NPI number?

The NPI number for Christopher Jackson is 1346543139. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Q: What is Christopher Jackson's specialty?

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

Active since December 16, 2010PECOS Enrolled

4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612(310) 398-5690 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Christopher Mazedjian Jackson NPPES

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

CHRISTOPHER MAZEDJIAN JACKSON (NPI 1346543139) is an individual marriage & family therapist in Culver City, California and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346543139

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameCHRISTOPHER MAZEDJIAN JACKSON

Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820

Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612 · Fax (310) 398-5690

Phone(310) 390-6612

Fax(310) 398-5690

Sole ProprietorNo

Enumeration DateDecember 16, 2010

Last NPPES UpdateOctober 16, 2014

✔ NPI 1346543139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

4760 SEPULVEDA BLVD, Culver City, CA 90230

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Mazedjian Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

VERONICA FUENTES

Case Manager/Care Coordinator