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ANTOINE JACKSON
NPI 1447745088
Counselor - Mental Health in Orange, CA

Active since June 26, 2018
401 S TUSTIN ST, ORANGE, CA 92866(714) 289-3936 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antoine Jackson NPPES

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

ANTOINE JACKSON (NPI 1447745088) is an individual mental health provider in Orange, California and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1447745088
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANTOINE JACKSON
Location Address401 S TUSTIN STOrange, CA 92866-2550
Mailing Address2185 W College Ave Apt 3018San Bernardino, CA 92407-7027
Phone(714) 289-3936
Sole ProprietorNo
Enumeration DateJune 26, 2018
✔ NPI 1447745088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
401 S TUSTIN ST, Orange, CA 92866
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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.

NUVIA RODRIGUEZ
Counselor (Mental Health)
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 289-3936
REBECCA ANN LOUISEQ RIENTORD
Counselor (Mental Health)
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 361-4860
AMI BENLLINE NAJERA LVN
Licensed Vocational Nurse
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 289-3936
MARIA HORTENCIA MARTINEZ-GARICA
Counselor
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 361-4860
MRS. DIANA REDEEMER MA., LPCC, LPC
Counselor (Professional)
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 289-3936
MR. MARIO JOSEPH IBARRA
Specialist
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 361-4860
LISA BODMER
Counselor
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (949) 406-9689
KYU YOUNG KANG
Counselor
401 S TUSTIN ST
ORANGE, CA 92866
Orange County (714) 361-4860

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 Antoine Jackson's NPI number?

The NPI number for Antoine Jackson is 1447745088. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Antoine Jackson located?

Antoine Jackson practices at 401 S Tustin St, Orange, CA 92866. The listed phone number is (714) 289-3936.

What is Antoine Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Antoine Jackson was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.