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CRYSTAL AMBER JACKSON
NPI 1821729880
Counselor - Addiction (Substance Use Disorder) in Santa Maria, CA

Active since June 21, 2022
412 E TUNNELL ST, SANTA MARIA, CA 93454(805) 925-0315 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2023, Jul 5, 2022 (2 updates tracked since 2022).

About Crystal Amber Jackson NPPES

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

CRYSTAL AMBER JACKSON (NPI 1821729880) is an individual addiction (substance use disorder) provider in Santa Maria, California, licensed in California (15788-RAC) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1821729880
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL AMBER JACKSON
Location Address412 E TUNNELL STSanta Maria, CA 93454-4146
Mailing Address135 Carmen LnSanta Maria, CA 93458-7729 · (805) 332-4568
Phone(805) 925-0315
Sole ProprietorNo
Enumeration DateJune 21, 2022
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1821729880 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
Licenses✔ Licensed in CA · 15788-RAC✔ Licensed in CA · R1452921221
412 E TUNNELL ST, Santa Maria, CA 93454
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Other Identifiers 1

Medicaid1033665526CA

Other Providers at the Same Location NPPES 14

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

ZONDRA GONZALES
Counselor (Addiction (Substance Use Disorder))
412 E TUNNELL ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-0315
BARBRA HUMPHRIES CADC-II
Counselor (Addiction (Substance Use Disorder))
412 E TUNNELL ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-0315
AMANDA CHRISTINE DUECK
Counselor (Addiction (Substance Use Disorder))
412 E TUNNELL ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-0315
SUSAN WILLIAMS
Counselor (Addiction (Substance Use Disorder))
412 E TUNNELL ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 904-3221
KAYLA M DIAZ
Counselor (Addiction (Substance Use Disorder))
412 E TUNNELL ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-0315
TRANSITIONS MENTAL HEALTH ASSOC
Counselor (Mental Health)
412 E TUNNELL ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-1200
MALIA ROSE DURAN
Counselor (Addiction (Substance Use Disorder))
412 E TUNNELL ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-0315
DANNA J TORPEN
Counselor (Addiction (Substance Use Disorder))
412 E TUNNELL ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 385-0315

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 Crystal Jackson's NPI number?

The NPI number for Crystal Jackson is 1821729880. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Crystal Jackson located?

Crystal Jackson practices at 412 E Tunnell St, Santa Maria, CA 93454. The listed phone number is (805) 925-0315.

What is Crystal 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 Crystal Jackson was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.