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SHADY CREEK THERAPY
NPI 1710543483
Marriage & Family Therapist in Chester, CA

Active since May 17, 2019
289 MAIN ST #6, CHESTER, CA 96020(530) 713-8266 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shady Creek Therapy NPPES

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

SHADY CREEK THERAPY (NPI 1710543483) is a healthcare organization registered as a marriage & family therapist in Chester, California and active in the NPI registry since May 2019. The organization lists Teri L Jackson, Marriage Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1710543483
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameSHADY CREEK THERAPY
Location Address289 MAIN ST #6Chester, CA 96020-9602
Mailing AddressPo Box 673Chester, CA 96020-0673 · (530) 713-8266
Phone(530) 713-8266
Organization SubpartNo
Authorized OfficialTeri L JacksonMarriage Family Therapist · (530) 713-8266
Enumeration DateMay 17, 2019
✔ NPI 1710543483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.

Other Names 1

Other NameTeri Jackson

Other Identifiers 1

Medicaid1700983509CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shady Creek Therapy's NPI number?

The NPI number for Shady Creek Therapy is 1710543483. It was assigned to this organization in the NPPES registry on May 17, 2019. The provider is also known as Teri Jackson.

Where is Shady Creek Therapy located?

Shady Creek Therapy is located at 289 Main St #6, Chester, CA 96020. The listed phone number is (530) 713-8266.

What is Shady Creek Therapy'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 Shady Creek Therapy was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.