JACKIE JACKSON
NPI 1356476501
Counselor - Addiction (Substance Use Disorder) in Lompoc, CA

Active since February 21, 2007
604 W OCEAN AVE, LOMPOC, CA 93436(805) 346-8185(805) 346-8656 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Jackson NPPES

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

JACKIE JACKSON (NPI 1356476501) is an individual addiction (substance use disorder) provider in Lompoc, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1356476501
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE JACKSON
Location Address604 W OCEAN AVELompoc, CA 93436-6630
Mailing Address619 E Cook StSanta Maria, CA 93454-5750 · (805) 922-1991
Fax(805) 346-8656
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 12, 2009
NPI 1356476501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
604 W OCEAN AVE, Lompoc, CA 93436

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
604 W OCEAN AVE
LOMPOC, CA 93436
Counselor (Addiction (Substance Use Disorder))
604 W OCEAN AVE
LOMPOC, CA 93436
Substance Abuse Rehabilitation Facility
604 W OCEAN AVE
LOMPOC, CA 93436
Counselor (Addiction (Substance Use Disorder))
604 W OCEAN AVE
LOMPOC, CA 93436
Community/Behavioral Health
604 W OCEAN AVE
LOMPOC, CA 93436
Student in an Organized Health Care Education/Training Program
604 W OCEAN AVE
LOMPOC, CA 93436
Counselor (Addiction (Substance Use Disorder))
604 W OCEAN AVE
LOMPOC, CA 93436
Counselor (Addiction (Substance Use Disorder))
604 W OCEAN AVE
LOMPOC, CA 93436

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 Jackie Jackson's NPI number?

The NPI number for Jackie Jackson is 1356476501. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Jackie Jackson located?

Jackie Jackson practices at 604 W Ocean Ave, Lompoc, CA 93436. The listed phone number is (805) 346-8185.

What is Jackie Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jackie Jackson was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.