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RONALD WAYNE JACKSON RADT
NPI 1922647346
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since January 02, 2020
939 N D ST, SAN BERNARDINO, CA 92410(909) 889-6519 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2022, Oct 27, 2020, Oct 7, 2020 and 1 more (4 updates tracked since 2020).

About Ronald Wayne Jackson Radt NPPES

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

RONALD WAYNE JACKSON RADT (NPI 1922647346) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (R1367361019) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1922647346
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRONALD WAYNE JACKSONCredential: RADT
Location Address939 N D STSan Bernardino, CA 92410-3519
Mailing Address939 N D StSan Bernardino, CA 92410-3519 · (909) 932-1069
Phone(909) 889-6519
Sole ProprietorYes
Enumeration DateJanuary 2, 2020
Last NPPES UpdateFebruary 22, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1922647346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1367361019
Also ListedPrevention ProfessionalTaxonomy 405300000X · License RADT78265 (CA)
939 N D ST, San Bernardino, CA 92410
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Other Providers at the Same Location NPPES 18

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

VERONICA SILVA-GARCIA
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-6519
MRS. BETHANY MIKKELLE LINDSAY
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-6519
INLAND VALLEY DRUG AND ALCOHOL RECOVERY SERVICES
Clinic/Center (Rehabilitation, Substance Use Disorder)
939 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-6519
AIMME SPRINGFIELD
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-6519
SHIVANI MATHUR
Student in an Organized Health Care Education/Training Program
939 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-6519
MARIBEL AMARO
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-6519
ALEXANDRA LATORRE
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-6519
SHAURAYE HOLLOWAY
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-6519

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 Ronald Jackson's NPI number?

The NPI number for Ronald Jackson is 1922647346. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Where is Ronald Jackson located?

Ronald Jackson practices at 939 N D St, San Bernardino, CA 92410. The listed phone number is (909) 889-6519.

What is Ronald 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 Ronald Jackson was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.