ADRIAN JACKSON
NPI 1992570493
Counselor - Mental Health in San Mateo, CA

Active since November 15, 2023
3701 HACIENDA ST, SAN MATEO, CA 94403(650) 539-0340 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adrian Jackson NPPES

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

ADRIAN JACKSON (NPI 1992570493) is an individual mental health provider in San Mateo, California and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1992570493
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameADRIAN JACKSON
Location Address3701 HACIENDA STSan Mateo, CA 94403-4366
Mailing Address3701 Hacienda StSan Mateo, CA 94403-4366
Sole ProprietorNo
Enumeration DateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
NPI 1992570493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3701 HACIENDA ST, San Mateo, CA 94403

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.

Counselor (Mental Health)
3701 HACIENDA ST
SAN MATEO, CA 94403
Marriage & Family Therapist
3701 HACIENDA ST
SAN MATEO, CA 94403
Peer Specialist
3701 HACIENDA ST
SAN MATEO, CA 94403
Counselor (Addiction (Substance Use Disorder))
3701 HACIENDA ST
SAN MATEO, CA 94403
Counselor (Mental Health)
3701 HACIENDA ST
SAN MATEO, CA 94403
Student in an Organized Health Care Education/Training Program
3701 HACIENDA ST
SAN MATEO, CA 94403
Community Based Residential Treatment Facility, Mental Illness
3701 HACIENDA ST
SAN MATEO, CA 94403
Counselor (Mental Health)
3701 HACIENDA ST
SAN MATEO, CA 94403

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 Adrian Jackson's NPI number?

The NPI number for Adrian Jackson is 1992570493. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Where is Adrian Jackson located?

Adrian Jackson practices at 3701 Hacienda St, San Mateo, CA 94403. The listed phone number is (650) 539-0340.

What is Adrian Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Adrian Jackson was last updated on November 15, 2023. 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.