LISA JACKSON
NPI 1619194628
Counselor in Riverside, CA

Active since April 19, 2007
1827 ATLANTA AVE STE D3, RIVERSIDE, CA 92507(951) 955-8000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Jackson NPPES

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

LISA JACKSON (NPI 1619194628) is an individual counselor in Riverside, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1619194628
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA JACKSON
Location Address1827 ATLANTA AVE STE D3Riverside, CA 92507-7418
Mailing Address1827 Atlanta Ave Ste D3Riverside, CA 92507-7418
Sole ProprietorNo
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1619194628 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.
1827 ATLANTA AVE STE D3, Riverside, CA 92507

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.

Social Worker (Clinical)
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507
Counselor (Mental Health)
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507
Counselor (Mental Health)
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507
Social Worker
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507
Counselor (Mental Health)
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507
Counselor (Mental Health)
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507
Counselor (Mental Health)
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507
Counselor (Mental Health)
1827 ATLANTA AVE STE D3
RIVERSIDE, CA 92507

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1619194628. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Lisa Jackson located?

Lisa Jackson practices at 1827 Atlanta Ave Ste D3, Riverside, CA 92507. The listed phone number is (951) 955-8000.

What is Lisa 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 Lisa Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.