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EBONY JACKSON
NPI 1477904357
Counselor in San Leandro, CA

Active since June 22, 2016
2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ebony Jackson NPPES

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

EBONY JACKSON (NPI 1477904357) is an individual counselor in San Leandro, California and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1477904357
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameEBONY JACKSON
Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444
Phone(510) 317-1444
Sole ProprietorNo
Enumeration DateJune 22, 2016
✔ NPI 1477904357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2275 ARLINGTON DR, San Leandro, CA 94578
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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.

JILL JAMIE MASON LCSW
Social Worker (Clinical)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
JULIE AUGUSTA HESS MSW
Social Worker (Clinical)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
ERICA KELLENBACH MSW
Social Worker (Clinical)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 772-8067
KARI SUNDSTROM LCSW
Social Worker (Clinical)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 481-1222
MR. MICHAEL ROSS MERTZ MS
Counselor (Professional)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (925) 603-1900
MS. AMY KATHLEEN LOVE MFT
Marriage & Family Therapist
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-3221
MS. LISA FANNIE CARLISLE MA.ED
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 481-1222
LINDA M HANIS
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 777-5300

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 Ebony Jackson's NPI number?

The NPI number for Ebony Jackson is 1477904357. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Ebony Jackson located?

Ebony Jackson practices at 2275 Arlington Dr, San Leandro, CA 94578. The listed phone number is (510) 317-1444.

What is Ebony Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ebony Jackson was last updated on June 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.