CEDRIC JACKSON SR.
NPI 1780136887
Counselor in San Francisco, CA

Active since October 25, 2016
245 11TH ST, SAN FRANCISCO, CA 94103(415) 377-6977 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedric Jackson Sr. NPPES

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

CEDRIC JACKSON SR. (NPI 1780136887) is an individual counselor in San Francisco, California and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1780136887
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCEDRIC JACKSON SR.
Location Address245 11TH STSan Francisco, CA 94103-3732
Mailing Address245 11th StSan Francisco, CA 94103-3732 · (415) 377-6977
Sole ProprietorNo
Enumeration DateOctober 25, 2016
NPI 1780136887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
245 11TH ST, San Francisco, CA 94103

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.

Nurse Practitioner (Psychiatric/Mental Health)
245 11TH ST
SAN FRANCISCO, CA 94103
Student in an Organized Health Care Education/Training Program
245 11TH ST
SAN FRANCISCO, CA 94103
Specialist
245 11TH ST
SAN FRANCISCO, CA 94103
Community Health Worker
245 11TH ST
SAN FRANCISCO, CA 94103
Licensed Vocational Nurse
245 11TH ST
SAN FRANCISCO, CA 94103
Counselor (Mental Health)
245 11TH ST
SAN FRANCISCO, CA 94103
Student in an Organized Health Care Education/Training Program
245 11TH ST
SAN FRANCISCO, CA 94103
Specialist
245 11TH ST
SAN FRANCISCO, CA 94103

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 Cedric Jackson's NPI number?

The NPI number for Cedric Jackson is 1780136887. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Cedric Jackson located?

Cedric Jackson practices at 245 11th St, San Francisco, CA 94103. The listed phone number is (415) 377-6977.

What is Cedric Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Cedric Jackson was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.