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YVETTE JACKSON MS,CAP,ICADC,CADCII
NPI 1366809774
Counselor - Addiction (Substance Use Disorder) in Oakland, CA

Active since January 15, 2016PECOS Enrolled
380 W MACARTHUR BLVD, OAKLAND, CA 94609(925) 450-1306 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2023, Jan 3, 2022, Jan 15, 2016 (3 updates tracked since 2016).

About Yvette Jackson Ms,cap,icadc,cadcii NPPES

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

YVETTE JACKSON MS,CAP,ICADC,CADCII (NPI 1366809774) is an individual addiction (substance use disorder) provider in Oakland, California, licensed in California (RA08190915) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366809774
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameYVETTE JACKSONCredential: MS,CAP,ICADC,CADCII
Location Address380 W MACARTHUR BLVDOakland, CA 94609-2819
Mailing Address380 W Macarthur BlvdOakland, CA 94609-2819
Phone(925) 450-1306
Sole ProprietorNo
Enumeration DateJanuary 15, 2016
Last NPPES UpdateMarch 16, 20233 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1366809774 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
License✔ Licensed in CA · RA08190915
380 W MACARTHUR BLVD, Oakland, CA 94609
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yvette Jackson Ms,cap,icadc,cadcii 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 6

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

MS. MERESA CONNORS M.A.
Marriage & Family Therapist
380 W MACARTHUR BLVD
OAKLAND, CA 94609
Alameda County (510) 251-3932
RACHELLE ANN REPOSA LCSW
Social Worker (Clinical)
380 W MACARTHUR BLVD
OAKLAND, CA 94609
Alameda County (510) 251-3905
LAURA BURROWS OPAL
Doula
380 W MACARTHUR BLVD
OAKLAND, CA 94609
Alameda County (312) 520-8717
DR. CHARLES MARCO AQUILINA PSYD
Psychologist (Addiction (Substance Use Disorder))
380 W MACARTHUR BLVD
OAKLAND, CA 94609
Alameda County (510) 251-3917
KIMBERLY THIEN-KIM LA DO
Student in an Organized Health Care Education/Training Program
380 W MACARTHUR BLVD
OAKLAND, CA 94609
Alameda County (510) 752-1200
NATALYE PEARSON
Psychologist (Clinical)
380 W MACARTHUR BLVD
OAKLAND, CA 94609
Alameda County (510) 251-0121

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 Yvette Jackson's NPI number?

The NPI number for Yvette Jackson is 1366809774. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Where is Yvette Jackson located?

Yvette Jackson practices at 380 W Macarthur Blvd, Oakland, CA 94609. The listed phone number is (925) 450-1306.

What is Yvette Jackson's specialty?

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

Is Yvette Jackson enrolled in Medicare?

Yes. Yvette Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yvette Jackson was last updated on March 16, 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.