LISA ANN JACKSON
NPI 1659980738
Counselor in Fairfield, CA

Active since July 24, 2020
956 E TABOR AVE, FAIRFIELD, CA 94533(707) 555-1212 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Ann Jackson NPPES

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

LISA ANN JACKSON (NPI 1659980738) is an individual counselor in Fairfield, California and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1659980738
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA ANN JACKSON
Location Address956 E TABOR AVEFairfield, CA 94533-4104
Mailing Address956 E Tabor AveFairfield, CA 94533-4104 · (707) 555-1212
Sole ProprietorYes
Enumeration DateJuly 24, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedJuly 24, 2020
NPI 1659980738 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.

956 E TABOR AVE, Fairfield, CA 94533

Other Identifiers 1

Medicaid90577107F64129CA

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.

Adult Companion
956 E TABOR AVE
FAIRFIELD, CA 94533
Counselor
956 E TABOR AVE
FAIRFIELD, CA 94533
Community Health Worker
956 E TABOR AVE
FAIRFIELD, CA 94533
Counselor
956 E TABOR AVE
FAIRFIELD, CA 94533
Counselor
956 E TABOR AVE
FAIRFIELD, CA 94533
Adult Companion
956 E TABOR AVE
FAIRFIELD, CA 94533
Adult Companion
956 E TABOR AVE
FAIRFIELD, CA 94533
Counselor
956 E TABOR AVE
FAIRFIELD, CA 94533

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 1659980738. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Lisa Jackson located?

Lisa Jackson practices at 956 E Tabor Ave, Fairfield, CA 94533. The listed phone number is (707) 555-1212.

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 November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.