1. Home
  2. Directory
  3. California
  4. Tulare
  5. Peer Specialist
  6. NPI Profile

JACKIE JACKSON
NPI 1952147530
Peer Specialist in Tulare, CA

Active since July 03, 2024

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jackie Jackson NPPES

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

JACKIE JACKSON (NPI 1952147530) is an individual peer specialist in Tulare, California and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1952147530
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACKIE JACKSON
Location Address201 N K STTulare, CA 93274-4005
Mailing Address2100 S Laspina St Apt 107Tulare, CA 93274-6902 · (559) 837-8505
Phone(559) 521-9023
Sole ProprietorNo
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1952147530 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.
201 N K ST, Tulare, CA 93274
Open in Google Maps ↗

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.

CARLOS BISHOP LPT
Licensed Psychiatric Technician
201 N K ST
TULARE, CA 93274
Tulare County (559) 687-8713
JOSEPH A CANO
Peer Specialist
201 N K ST
TULARE, CA 93274
Tulare County (559) 687-0929
JULIE CUNNINGHAM I
Marriage & Family Therapist
201 N K ST
TULARE, CA 93274
Tulare County (559) 687-0929
JORGE PANIAGUA
Peer Specialist
201 N K ST
TULARE, CA 93274
Tulare County (559) 687-0929
GLADYS LOPEZ
Counselor (Professional)
201 N K ST
TULARE, CA 93274
Tulare County (559) 687-0929
DR. SHYAM KUMBHANI DO
Psychiatry & Neurology (Psychiatry)
201 N K ST
TULARE, CA 93274
Tulare County (559) 687-0929
NICOLE J GRAHAM
Peer Specialist
201 N K ST
TULARE, CA 93274
Tulare County (559) 687-0929
CASSANDRA VICTORIA TOPETE
Marriage & Family Therapist
201 N K ST
TULARE, CA 93274
Tulare County (559) 687-0929

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 Jackie Jackson's NPI number?

The NPI number for Jackie Jackson is 1952147530. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Jackie Jackson located?

Jackie Jackson practices at 201 N K St, Tulare, CA 93274. The listed phone number is (559) 521-9023.

What is Jackie 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 Jackie Jackson was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.