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ROBERT JACKSON
NPI 1386160661
Counselor - Mental Health in San Francisco, CA

Active since August 17, 2017Opted out of Medicare · through Jan 1, 2028
3245 GEARY BLVD # 590932, SAN FRANCISCO, CA 94118(415) 424-4514(628) 465-1310 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2024, Oct 14, 2021, Aug 17, 2017 (3 updates tracked since 2017).

About Robert Jackson NPPES

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

ROBERT JACKSON (NPI 1386160661) is an individual mental health provider in San Francisco, California and active in the NPI registry since August 2017. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1386160661
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROBERT JACKSON
Location Address3245 GEARY BLVD # 590932San Francisco, CA 94118-3318
Mailing Address3245 Geary Blvd # 590932San Francisco, CA 94118-3318 · (415) 424-4514 · Fax (415) 871-2574
Phone(415) 424-4514
Fax(628) 465-1310
Sole ProprietorYes
Enumeration DateAugust 17, 2017
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1386160661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3245 GEARY BLVD # 590932, San Francisco, CA 94118
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Robert Jackson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1386160661. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Robert Jackson located?

Robert Jackson practices at 3245 Geary Blvd # 590932, San Francisco, CA 94118. The listed phone number is (415) 424-4514.

What is Robert Jackson's specialty?

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

Is Robert Jackson enrolled in Medicare?

No. Robert Jackson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.