1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Counselor
  6. NPI Profile

RANDI MARIE JACKSON ASW
NPI 1548832199
Counselor - Mental Health in Los Angeles, CA

Active since July 13, 2021
4401 CRENSHAW BLVD, LOS ANGELES, CA 90043(323) 290-8360 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2021, Jul 13, 2021 (2 updates tracked since 2021).

About Randi Marie Jackson Asw NPPES

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

RANDI MARIE JACKSON ASW (NPI 1548832199) is an individual mental health provider in Los Angeles, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1548832199
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRANDI MARIE JACKSONCredential: ASW
Location Address4401 CRENSHAW BLVDLos Angeles, CA 90043-1227
Mailing Address3031 S Vermont AveLos Angeles, CA 90007-3033 · (323) 373-2400
Phone(323) 290-8360
Sole ProprietorNo
Enumeration DateJuly 13, 2021
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1548832199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4401 CRENSHAW BLVD, Los Angeles, CA 90043
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.

STEVEN FIGUEROA BSW
Rehabilitation Practitioner
4401 CRENSHAW BLVD, SUITE 300
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
MARY EWELL LMFT
Marriage & Family Therapist
4401 CRENSHAW BLVD, SUITE 300
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
BLANCA ROMERO BA
Rehabilitation Practitioner
4401 CRENSHAW BLVD, SUITE 300
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
DR. ESTELA ANDUJO LCSW
Social Worker (Clinical)
4401 CRENSHAW BLVD, SUITE 300
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
EBONY S MIDDLEBROOK B.A.
Rehabilitation Practitioner
4401 CRENSHAW BLVD, 300
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
BRENDA MIRANDA BA
Rehabilitation Practitioner
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
LOURDES D FLORES MFT INTERN
Rehabilitation Practitioner
4401 CRENSHAW BLVD, 300
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
JOSHUA STANLEY POTTER-EFRON LCSW
Social Worker (Clinical)
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360

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 Randi Jackson's NPI number?

The NPI number for Randi Jackson is 1548832199. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Randi Jackson located?

Randi Jackson practices at 4401 Crenshaw Blvd, Los Angeles, CA 90043. The listed phone number is (323) 290-8360.

What is Randi 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 Randi Jackson was last updated on December 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.