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LARICA FANTASIA JACKO
NPI 1639684228
Counselor in San Jose, CA

Active since December 05, 2017
1400 PARKMOOR AVE, SAN JOSE, CA 95126(408) 637-8009 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larica Fantasia Jacko NPPES

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

LARICA FANTASIA JACKO (NPI 1639684228) is an individual counselor in San Jose, California and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1639684228
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLARICA FANTASIA JACKO
Location Address1400 PARKMOOR AVESan Jose, CA 95126-3797
Mailing Address1400 Parkmoor AveSan Jose, CA 95126-3797 · (408) 637-8009
Phone(408) 637-8009
Sole ProprietorYes
Enumeration DateDecember 5, 2017
✔ NPI 1639684228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1400 PARKMOOR AVE, San Jose, CA 95126
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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.

VANESSA DAVIS
Case Manager/Care Coordinator
1400 PARKMOOR AVE
SAN JOSE, CA 95126
Santa Clara County (408) 971-9522
RACHELL LOUISE ARMSTRONG
Case Manager/Care Coordinator
1400 PARKMOOR AVE
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822
ISSAC GARCIA
Case Management
1400 PARKMOOR AVE
SAN JOSE, CA 95126
Santa Clara County (408) 961-9871
JILLIAN SAFFIN
Counselor
1400 PARKMOOR AVE
SAN JOSE, CA 95126
Santa Clara County (925) 200-8790
KENDRA LATIMORE
Counselor
1400 PARKMOOR AVE, 115
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822
LINH SITES
Counselor
1400 PARKMOOR AVE, SUITE 115
SAN JOSE, CA 95126
Santa Clara County (408) 507-3152
LEOPOLDO MEDINA
Counselor
1400 PARKMOOR AVE
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822
BRANDI M VILLEGAS
Specialist
1400 PARKMOOR AVE
SAN JOSE, CA 95126
Santa Clara County (408) 971-9822

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 Larica Jacko's NPI number?

The NPI number for Larica Jacko is 1639684228. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Larica Jacko located?

Larica Jacko practices at 1400 Parkmoor Ave, San Jose, CA 95126. The listed phone number is (408) 637-8009.

What is Larica Jacko'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 Larica Jacko was last updated on December 5, 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.