MR. THEODORE JAKES JR.
NPI 1750569380
Counselor - Addiction (Substance Use Disorder) in Riverside, CA

Active since February 06, 2008
1777 ATLANTA AVE, STE G1, RIVERSIDE, CA 92507(951) 778-3500(951) 274-9865 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Theodore Jakes Jr. NPPES

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

MR. THEODORE JAKES JR. (NPI 1750569380) is an individual addiction (substance use disorder) provider in Riverside, California, licensed in California (C8572406) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1750569380
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. THEODORE JAKES JR.
Location Address1777 ATLANTA AVE, STE G1Riverside, CA 92507
Mailing Address1170 Kraemer DrCorona, CA 92882
Fax(951) 274-9865
Sole ProprietorYes
Enumeration DateFebruary 6, 2008
NPI 1750569380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · C8572406
1777 ATLANTA AVE, Riverside, CA 92507

Other Providers at the Same Location NPPES 5

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

Counselor (Addiction (Substance Use Disorder))
1777 ATLANTA AVE, SUITE G-1
RIVERSIDE, CA 92507
Counselor (Addiction (Substance Use Disorder))
1777 ATLANTA AVE, SUITE G-1
RIVERSIDE, CA 92507
Social Worker (Clinical)
1777 ATLANTA AVE, STE G3
RIVERSIDE, CA 92507
Counselor (Addiction (Substance Use Disorder))
1777 ATLANTA AVE, SUITE G-1
RIVERSIDE, CA 92507
Community/Behavioral Health
1777 ATLANTA AVE, G1
RIVERSIDE, CA 92507

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 Theodore Jakes's NPI number?

The NPI number for Theodore Jakes is 1750569380. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is Theodore Jakes located?

Theodore Jakes practices at 1777 Atlanta Ave Ste G1, Riverside, CA 92507. The listed phone number is (951) 778-3500.

What is Theodore Jakes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theodore Jakes was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.