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JOSEPH JACKSON
NPI 1912386509
Peer Specialist in Greenbrae, CA

Active since May 28, 2015
250 BON AIR RD, GREENBRAE, CA 94904(707) 327-7784 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 13, 2023, Jun 12, 2023 (2 updates tracked since 2023).

About Joseph Jackson NPPES

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

JOSEPH JACKSON (NPI 1912386509) is an individual peer specialist in Greenbrae, California and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1912386509
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOSEPH JACKSON
Location Address250 BON AIR RDGreenbrae, CA 94904-1702
Mailing Address6044 Oak Leaf PlRohnert Park, CA 94928-2991 · (707) 327-7784
Phone(707) 327-7784
Sole ProprietorYes
Enumeration DateMay 28, 2015
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1912386509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
250 BON AIR RD, Greenbrae, CA 94904
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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.

MESKEREM DABA RN, BSN
Registered Nurse (Psychiatric/Mental Health)
250 BON AIR RD
GREENBRAE, CA 94904
Marin County (415) 473-6666
ALEC CHANG D.O.
Psychiatry & Neurology (Psychiatry)
250 BON AIR RD
GREENBRAE, CA 94904
Marin County (415) 473-6835
MARIN HOSPITALIST MEDICAL GROUP, INC.
Internal Medicine
250 BON AIR RD, 3RD FLOOR
GREENBRAE, CA 94904
Marin County (415) 925-7545
DR. STEPHEN C ALLISON M.D.
Psychiatry & Neurology (Psychiatry)
250 BON AIR RD
GREENBRAE, CA 94904
Marin County (415) 925-7663
ANNIE LINN STODDARD
Rehabilitation Practitioner
250 BON AIR RD
GREENBRAE, CA 94904
Marin County (415) 473-6835
SARENA NAPIER ASW
Counselor (Mental Health)
250 BON AIR RD
GREENBRAE, CA 94904
Marin County (415) 473-6619
JULIET LIANNE HUNTINGTON CNM
Advanced Practice Midwife
250 BON AIR RD
GREENBRAE, CA 94904
Marin County (415) 925-7010
ZAMBIA RICHEA PLAYER RN
Registered Nurse
250 BON AIR RD
GREENBRAE, CA 94904
Marin County (415) 473-6666

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 Joseph Jackson's NPI number?

The NPI number for Joseph Jackson is 1912386509. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Joseph Jackson located?

Joseph Jackson practices at 250 Bon Air Rd, Greenbrae, CA 94904. The listed phone number is (707) 327-7784.

What is Joseph Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Joseph Jackson was last updated on July 13, 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.