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TERESA ASSATA-SANAA JACKSON
NPI 1972256402
Counselor - Addiction (Substance Use Disorder) in Orange, CA

Active since February 03, 2022
265 S ANITA DR, ORANGE, CA 92868(949) 749-2500 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Feb 3, 2022 (2 updates tracked since 2022).

About Teresa Assata-sanaa Jackson NPPES

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

TERESA ASSATA-SANAA JACKSON (NPI 1972256402) is an individual addiction (substance use disorder) provider in Orange, California and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1972256402
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTERESA ASSATA-SANAA JACKSON
Location Address265 S ANITA DROrange, CA 92868-3355
Mailing Address265 S Anita DrOrange, CA 92868-3355 · (949) 749-2500
Phone(949) 749-2500
Sole ProprietorNo
Enumeration DateFebruary 3, 2022
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1972256402 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
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
265 S ANITA DR, Orange, CA 92868
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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.

DR. SHARATH KUMAR ELIAS RENIGUNTALA M.D.
General Practice
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 531-6344
KEN SANGBOEM KIM
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 439-6109
DENA MARIE VALENZUELA
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2603
ANDREW SHULENBERGER
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (657) 933-4101
ARIALA DECK
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500
MS. ROLA JREISAT CADC 11-CA
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (562) 241-8669
MYDEA JONES
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500
EMUAN OMOYEMEN IHENYEN
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500

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 Teresa Jackson's NPI number?

The NPI number for Teresa Jackson is 1972256402. It was assigned to this individual provider in the NPPES registry on February 3, 2022.

Where is Teresa Jackson located?

Teresa Jackson practices at 265 S Anita Dr, Orange, CA 92868. The listed phone number is (949) 749-2500.

What is Teresa 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 Teresa Jackson was last updated on April 11, 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.