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RICK V JACKSON MFT
NPI 1730682824
Marriage & Family Therapist in Pasadena, CA

Active since March 14, 2018Opted out of Medicare · through Mar 10, 2027
650 SIERRA MADRE VILLA AVE STE 110, PASADENA, CA 91107(626) 351-9616(626) 351-9493 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rick V Jackson Mft NPPES

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

RICK V JACKSON MFT (NPI 1730682824) is an individual marriage & family therapist in Pasadena, California, licensed in California (MFC83813) and active in the NPI registry since March 2018. He has opted out of Medicare through March 10, 2027.

NPPES Registry Identity

NPI1730682824
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameRICK V JACKSONCredential: MFT
Location Address650 SIERRA MADRE VILLA AVE STE 110Pasadena, CA 91107-2000
Mailing Address650 Sierra Madre Villa Ave Ste 110Pasadena, CA 91107-2000 · (626) 351-9616 · Fax (626) 351-9493
Phone(626) 351-9616
Fax(626) 351-9493
Sole ProprietorNo
Enumeration DateMarch 14, 2018
✔ NPI 1730682824 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 · MFC83813
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.
650 SIERRA MADRE VILLA AVE STE 110, Pasadena, CA 91107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rick V Jackson Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 10, 2025 through March 10, 2027.

Opt-Out Effective DateMarch 10, 2025
Opt-Out In Effect ThroughMarch 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

DR. ANDREA FORBES PSY.D.
Psychologist (Clinical)
650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA 91107
Los Angeles County (626) 351-9616
DR. CLINT JESS DANIELS LMFT
Marriage & Family Therapist
650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA 91107
Los Angeles County (626) 351-9616
LAURIE F CARMICHAEL MS, LMFT
Marriage & Family Therapist
650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA 91107
Los Angeles County (626) 351-9616
KATHERINE RK WIEBE PSYD, PHD, MDIV
Psychologist
650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA 91107
Los Angeles County (626) 351-9616
REBEKAH ALVAREZ
Social Worker (Clinical)
650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA 91107
Los Angeles County (626) 351-9616
DR. CHRISTINA KIM
Student in an Organized Health Care Education/Training Program
650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA 91107
Los Angeles County (800) 423-9591
KELSEY M SIMA
Marriage & Family Therapist
650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA 91107
Los Angeles County (626) 351-9616
KATHERINE EBERLE LMFT
Marriage & Family Therapist
650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA 91107
Los Angeles County (626) 351-9616

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 Rick Jackson's NPI number?

The NPI number for Rick Jackson is 1730682824. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Rick Jackson located?

Rick Jackson practices at 650 Sierra Madre Villa Ave Ste 110, Pasadena, CA 91107. The listed phone number is (626) 351-9616.

What is Rick Jackson's specialty?

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

Is Rick Jackson enrolled in Medicare?

No. Rick Jackson has opted out of Medicare through March 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rick Jackson was last updated on March 14, 2018. 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.