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DEANGELO RAYMON JACKSON M.S, AMFT
NPI 1881581254
Marriage & Family Therapist in Oakland, CA

Active since June 19, 2025
390 40TH ST, OAKLAND, CA 94609(510) 613-0330 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 17, 2025, Jun 25, 2025, Jun 19, 2025 (3 updates tracked since 2025).

About Deangelo Raymon Jackson M.s, Amft NPPES

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

DEANGELO RAYMON JACKSON M.S, AMFT (NPI 1881581254) is an individual marriage & family therapist in Oakland, California, licensed in California (AMFT157534) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1881581254
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDEANGELO RAYMON JACKSONCredential: M.S, AMFT
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 613-0330
Phone(510) 613-0330
Sole ProprietorNo
Enumeration DateJune 19, 2025
Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1881581254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · AMFT157534
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
390 40TH ST, Oakland, CA 94609
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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.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

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 Deangelo Jackson's NPI number?

The NPI number for Deangelo Jackson is 1881581254. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Deangelo Jackson located?

Deangelo Jackson practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 613-0330.

What is Deangelo Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Deangelo Jackson was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.