DIANE JACKSON MFT
NPI 1710096409
Marriage & Family Therapist in Roseville, CA

Active since August 29, 2006
300 HARDING BLVD, SUITE 109, ROSEVILLE, CA 95678(916) 772-3628 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane Jackson Mft NPPES

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

DIANE JACKSON MFT (NPI 1710096409) is an individual marriage & family therapist in Roseville, California, licensed in California (MFC34099) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1710096409
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDIANE JACKSONCredential: MFT
Location Address300 HARDING BLVD, SUITE 109Roseville, CA 95678-2470
Mailing Address300 Harding Blvd, Suite 109Roseville, CA 95678-2470 · (916) 772-3628
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 23, 2009
NPI 1710096409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC34099
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.
300 HARDING BLVD, Roseville, CA 95678

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
300 HARDING BLVD, SUITE 108
ROSEVILLE, CA 95678
General Practice
300 HARDING BLVD, 213
ROSEVILLE, CA 95678
Social Worker (Clinical)
300 HARDING BLVD, ROSEVILLE, CA 95678
ROSEVILLE, CA 95678
Dietitian, Registered
300 HARDING BLVD, SUITE 203C
ROSEVILLE, CA 95678
Psychologist (Clinical)
300 HARDING BLVD, SUITE 112C
ROSEVILLE, CA 95678
Massage Therapist
300 HARDING BLVD, SUITE 213
ROSEVILLE, CA 95678
Marriage & Family Therapist
300 HARDING BLVD
ROSEVILLE, CA 95678
Psychologist (Clinical)
300 HARDING BLVD, SUITE 118
ROSEVILLE, CA 95678

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 Diane Jackson's NPI number?

The NPI number for Diane Jackson is 1710096409. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Diane Jackson located?

Diane Jackson practices at 300 Harding Blvd Suite 109, Roseville, CA 95678. The listed phone number is (916) 772-3628.

What is Diane Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Diane Jackson was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.