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KEVIN JACKSON
NPI 1821647207
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since September 08, 2019
8831 VENICE BLVD, LOS ANGELES, CA 90034(310) 204-5200 Get Directions Write a Review

NPPES record last updated: September 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Jackson NPPES

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

KEVIN JACKSON (NPI 1821647207) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1821647207
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN JACKSON
Location Address8831 VENICE BLVDLos Angeles, CA 90034-3223
Mailing Address8831 Venice BlvdLos Angeles, CA 90034-3223
Phone(310) 204-5200
Sole ProprietorYes
Enumeration DateSeptember 8, 2019
✔ NPI 1821647207 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
8831 VENICE BLVD, Los Angeles, CA 90034
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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.

JOHN FITTING
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (310) 204-5200
TALIA MANN
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (310) 204-5200
BRADLEY ELKINS CADAC 2, AMFT
Marriage & Family Therapist
8831 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (818) 522-0074
WILLIAM MORTON
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (310) 204-5200
MISS KATHERINE H PIEL
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (310) 204-5200
JAMIE SHERMAN
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (310) 204-5200
JORDAN WEISS
Student in an Organized Health Care Education/Training Program
8831 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (310) 204-5200
LEONA A FALLAS
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Los Angeles County (310) 204-5200

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 Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1821647207. It was assigned to this individual provider in the NPPES registry on September 8, 2019.

Where is Kevin Jackson located?

Kevin Jackson practices at 8831 Venice Blvd, Los Angeles, CA 90034. The listed phone number is (310) 204-5200.

What is Kevin Jackson'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 Kevin Jackson was last updated on September 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.