TED JACKSON
NPI 1487047072
Marriage & Family Therapist in Corona, CA

Q: What is Ted Jackson's NPI number?

The NPI number for Ted Jackson is 1487047072. It was assigned to this individual provider in the NPPES registry on March 6, 2015.

Q: What is Ted Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ted Jackson was last updated on October 27, 2017. 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.

Active since March 06, 2015

2275 S MAIN ST STE 201, CORONA, CA 92882(951) 279-3222 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2017, May 23, 2017 (2 updates tracked since 2017).

On this page

About Ted Jackson NPPES

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

TED JACKSON (NPI 1487047072) is an individual marriage & family therapist in Corona, California, licensed in California (102685) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1487047072

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameTED JACKSON

Location Address2275 S MAIN ST STE 201Corona, CA 92882-5303

Mailing Address141 N Arrowhead AveSan Bernardino, CA 92408 · (909) 963-5355

Phone(951) 279-3222

Sole ProprietorYes

Enumeration DateMarch 6, 2015

Last NPPES UpdateOctober 27, 20172 updates tracked since enumeration

✔ NPI 1487047072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 102685

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2275 S MAIN ST STE 201, Corona, CA 92882

Open in Google Maps ↗

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.

COMMUNITY ACCESS NETWROK

Marriage & Family Therapist