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AMANDA LEIGH JACKSON
NPI 1356725840
Counselor - Professional in Apple Valley, CA

Active since July 14, 2015
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307(760) 946-8200(760) 242-1425 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2023, May 23, 2022, May 5, 2021 and 2 more (5 updates tracked since 2017).

About Amanda Leigh Jackson NPPES

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

AMANDA LEIGH JACKSON (NPI 1356725840) is an individual professional provider in Apple Valley, California, licensed in California (11586) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1356725840
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA LEIGH JACKSON
Location Address17800 US HIGHWAY 18Apple Valley, CA 92307-1221
Mailing Address17800 Us Highway 18Apple Valley, CA 92307-1221 · (760) 946-8200 · Fax (760) 242-1425
Phone(760) 946-8200
Fax(760) 242-1425
Sole ProprietorNo
Enumeration DateJuly 14, 2015
Last NPPES UpdateApril 10, 20235 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1356725840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 11586
17800 US HIGHWAY 18, Apple Valley, CA 92307
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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.

LORRAINE ANN ARLINGTON
Occupational Therapist
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-6336
KRYSTAL FRAUSTO
Counselor (Professional)
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 946-8200
MRS. KATHLEEN PATRICE JAMES LCSW, MSW
Social Worker (Clinical)
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-6336
STEPHANIE SWEEM
Rehabilitation Practitioner
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 552-6700
SUGEY GONZALEZ-ESCOBEDO
Social Worker
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 552-6700
DR. LINDA EMIETURE EDHERE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 552-6700
JENNIFER HARMS
Community Health Worker
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-6336
LAUREN CHANNEL
Rehabilitation Practitioner
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 552-6700

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 Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1356725840. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Amanda Jackson located?

Amanda Jackson practices at 17800 Us Highway 18, Apple Valley, CA 92307. The listed phone number is (760) 946-8200.

What is Amanda Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Amanda Jackson was last updated on April 10, 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.