JACKIE LYNNE HARDMAN
NPI 1770950628
Counselor - Mental Health in Santa Rosa, CA

Active since August 26, 2015
634 PRESSLEY ST, SANTA ROSA, CA 95404(707) 573-6955 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jackie Lynne Hardman NPPES

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

JACKIE LYNNE HARDMAN (NPI 1770950628) is an individual mental health provider in Santa Rosa, California and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1770950628
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE LYNNE HARDMAN
Location Address634 PRESSLEY STSanta Rosa, CA 95404-5526
Mailing Address11303 Skyline RdForestville, CA 95436-9737 · (707) 820-1531
Sole ProprietorYes
Enumeration DateAugust 26, 2015
NPI 1770950628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
634 PRESSLEY ST, Santa Rosa, CA 95404

Other Identifiers 1

Other1234CA · Medical

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.

Counselor
634 PRESSLEY ST
SANTA ROSA, CA 95404
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Community Health Worker
634 PRESSLEY ST
SANTA ROSA, CA 95404
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Day Training/Habilitation Specialist
634 PRESSLEY ST
SANTA ROSA, CA 95404

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 Jackie Hardman's NPI number?

The NPI number for Jackie Hardman is 1770950628. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Where is Jackie Hardman located?

Jackie Hardman practices at 634 Pressley St, Santa Rosa, CA 95404. The listed phone number is (707) 573-6955.

What is Jackie Hardman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jackie Hardman was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.