DR. DIANE WESSON JACKSON MFC
NPI 1417257312
Marriage & Family Therapist in Los Angeles, CA

Active since October 25, 2010
1531 PURDUE AVE, SUITE NUMBER 103, LOS ANGELES, CA 90025(310) 478-6263(310) 456-8456 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Diane Wesson Jackson Mfc NPPES

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

DR. DIANE WESSON JACKSON MFC (NPI 1417257312) is an individual marriage & family therapist in Los Angeles, California, licensed in California (MFC13334) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1417257312
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. DIANE WESSON JACKSONCredential: MFC
Location Address1531 PURDUE AVE, SUITE NUMBER 103Los Angeles, CA 90025-3104
Mailing Address1531 Purdue Ave, Suite Number 103Los Angeles, CA 90025-3104 · (310) 478-6263 · Fax (310) 456-8456
Fax(310) 456-8456
Sole ProprietorYes
Enumeration DateOctober 25, 2010
NPI 1417257312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC13334
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.
1531 PURDUE AVE, Los Angeles, CA 90025

Other Identifiers 1

OtherFEID 95-4177659CA · Federal Id For Taxes

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
1531 PURDUE AVE
WEST LOS ANGELES, CA 90025
Psychologist (Clinical)
1531 PURDUE AVE
LOS ANGELES, CA 90025
Marriage & Family Therapist
1531 PURDUE AVE
LOS ANGELES, CA 90025
Counselor (Mental Health)
1531 PURDUE AVE
LOS ANGELES, CA 90025
Marriage & Family Therapist
1531 PURDUE AVE
WEST LOS ANGELES, CA 90025

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 Diane Jackson's NPI number?

The NPI number for Diane Jackson is 1417257312. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Diane Jackson located?

Diane Jackson practices at 1531 Purdue Ave Suite Number 103, Los Angeles, CA 90025. The listed phone number is (310) 478-6263.

What is Diane Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Diane Jackson was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.