Jackie Jackson

ActiveIndividual ProviderAddiction Counselor
NPI issued: February 21, 2007

Quick Facts

NPI Number
1356476501
TypeIndividual
StatusActive
SpecialtyAddiction Counselor
Taxonomy101YA0400X — Addiction Counselor
Phone
(805) 346-8185
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1356476501)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (February 21, 2007)
Data source: CMS NPPES

Provider Overview

JACKIE JACKSON is a Addiction Counselor provider based in Lompoc, CA who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1356476501
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateFebruary 21, 2007

Practice Location

CityLompoc
StateCA
ZIP Code93436-6630
Phone(805) 346-8185

Specialties & Licenses

★ Primary
SpecialtyAddiction Counselor
Taxonomy Code101YA0400X
License StateCA

Mailing Address

CityLompoc
StateCA
ZIP Code93436-6630
Phone(805) 346-8185
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1356476501 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1356476501for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1356476501 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Addiction Counselor

Specialists in Addiction Counselor provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
119,761
Addiction Counselor Providers in the US

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People Also Ask

What is Jackie Jackson's NPI number?
Jackie Jackson's NPI number is 1356476501, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jackie Jackson's NPI currently active?
Yes, Jackie Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Jackie Jackson specialize in?
Jackie Jackson specializes in Addiction Counselor. The healthcare taxonomy code associated with this specialty is 101YA0400X.
Where does Jackie Jackson practice?
Jackie Jackson practices in Lompoc, CA 93436-6630.
When was Jackie Jackson's NPI issued?
Jackie Jackson's NPI was issued on February 21, 2007.
What is Jackie Jackson's provider type?
Jackie Jackson is registered as an Individual Provider under CMS NPI Type 1.