COLLEEN C JACKSON
NPI 1891137444
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Colleen Jackson's NPI number?

The NPI number for Colleen Jackson is 1891137444. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Q: What is Colleen Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Colleen Jackson was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 24, 2013PECOS Enrolled

2350 PROFESSIONAL DR, SANTA ROSA, CA 95403(707) 565-7479 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Colleen C Jackson NPPES

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

COLLEEN C JACKSON (NPI 1891137444) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (84465) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891137444

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCOLLEEN C JACKSON

Location Address2350 PROFESSIONAL DRSanta Rosa, CA 95403-3018

Mailing Address1430 Neotomas AveSanta Rosa, CA 95405-7575 · (707) 565-7479

Phone(707) 565-7479

Sole ProprietorNo

Enumeration DateJuly 24, 2013

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1891137444 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 · 84465

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.

2350 PROFESSIONAL DR, Santa Rosa, CA 95403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen C Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

STEVEN S. RANISH

Psychologist

2350 PROFESSIONAL DR
SANTA ROSA, CA 95403

Sonoma County (707) 565-4996

JACQUE OATES REID

Rehabilitation Practitioner

2350 PROFESSIONAL DR
SANTA ROSA, CA 95403

Sonoma County (707) 565-2685

ASGHAR EHSAN

Counselor

2350 PROFESSIONAL DR
SANTA ROSA, CA 95403

Sonoma County (707) 565-4954

MR. CHARLES ALFRED MURRAY 106H00000X

Marriage & Family Therapist

2350 PROFESSIONAL DR
SANTA ROSA, CA 95403

Sonoma County (707) 565-4954

KAITLYN DUNAWAY

Counselor (Professional)

2350 PROFESSIONAL DR
SANTA ROSA, CA 95403

Sonoma County (707) 565-4963

MR. MATTHEW THOMAS RIFFEL MHRS BA

Registered Nurse (Psychiatric/Mental Health)

2350 PROFESSIONAL DR, COUNTY OF SONOMA, FACT
SANTA ROSA, CA 95403

Sonoma County (707) 565-4951

MR. RONALD MICHAEL TURECK JR.

Rehabilitation Practitioner

2350 PROFESSIONAL DR
SANTA ROSA, CA 95403

Sonoma County (707) 565-4963

MS. ALLISON M BALL B.A. & SCSS

Rehabilitation Practitioner

2350 PROFESSIONAL DR
SANTA ROSA, CA 95403

Sonoma County (707) 565-4963

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 Colleen Jackson's NPI number?

The NPI number for Colleen Jackson is 1891137444. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Where is Colleen Jackson located?

Colleen Jackson practices at 2350 Professional Dr, Santa Rosa, CA 95403. The listed phone number is (707) 565-7479.

What is Colleen Jackson's specialty?

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

Is Colleen Jackson enrolled in Medicare?

Yes. Colleen Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Jackson was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.