JERRY LOUIS JACKSON JR.


Address: 801 W 70th St, Los Angeles, CA 90044-5218
Phone: 3232425000

JERRY LOUIS JACKSON JR. (NPI# 1083097901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083097901
Entity Type Individual
Full Name JERRY LOUIS JACKSON JR.
Practice Address 801 W 70th St
Los Angeles
CA 90044-5218
Practice Telephone 3232425000
Mailing Telephone 3232425000
Enumeration Date 2015-07-09
Last Update Date 2018-01-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Providers JERRY JACKSON

NPI Name Taxonomy Address Enumeration
1023549805 Jerry Jackson Social Worker 7937 Westmoreland Ave, Parkville, MD 21234-5435 2017-03-23
1154423234 Jerry S Jackson Podiatrist 300 Aztec St, Montezuma, KS 67867 2006-09-01
1386632081 Jerry D Jackson Pharmacist 415 Springwood Dr, Spartanburg, SC 29302-4047 2005-10-07
1265994313 Jerry Scott Jackson Hearing Instrument Specialist 2601 S Ih 35 Ste A300, Round Rock, TX 78664-7358 2019-04-05
1902053549 Jerry Jackson Registered Nurse 1830 Flower St, Bakersfield, CA 93305-4144 2008-08-26
1821261355 Jerry W Jackson Pharmacist 801 Stadium Dr, Suite # 111, Arlington, TX 76011-6254 2008-04-04
1881874584 Jerry Jay Jackson Internal Medicine 3134 Northside Dr, Bldg B, Key West, FL 33040-8004 2007-11-09
1528182102 Jerry Camal Jackson Counselor 1321 S Fayette St, Saginaw, MI 48602-1447 2007-03-19
1356423594 Jerry Edwin Jackson Jr. Counselor 3963 Market Street, Suite A, Wilmington, NC 28403 2006-10-19
1699887166 Jerry Michael Jackson Counselor 11016 Ne 2nd Pl, Bellevue, WA 98004-5830 2006-08-31

Office Location

Street Address 801 W 70TH ST
City LOS ANGELES
State CA
Zip Code 90044-5218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477759603 Shields for Families Substance Abuse Rehabilitation Facility 801 W 70th St, Los Angeles, CA 90044-5218 2007-06-25
1649879578 James Scott IIi Counselor 801 W 70th St, Los Angeles, CA 90044-5218 2020-10-21
1790390193 George Alexander Counselor 801 W 70th St, Los Angeles, CA 90044-5218 2020-09-11
1538789227 Ronnie Pitre Counselor 801 W 70th St, Los Angeles, CA 90044-5218 2020-04-22
1609402999 Brian Cruz Counselor 801 W 70th St, Los Angeles, CA 90044-5218 2020-03-18
1326670944 Devon Hurd Case Manager/Care Coordinator 801 W 70th St, Los Angeles, CA 90044-5218 2020-02-11
1114559721 Anita Smith Case Manager/Care Coordinator 801 W 70th St, Los Angeles, CA 90044-5218 2020-02-11
1053943621 Damion Wiseman Case Manager/Care Coordinator 801 W 70th St, Los Angeles, CA 90044-5218 2020-02-11
1992337513 Khylia Henderson Case Manager/Care Coordinator 801 W 70th St, Los Angeles, CA 90044-5218 2020-02-11
1821630559 Tasha Collins Counselor 801 W 70th St, Los Angeles, CA 90044-5218 2019-10-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386135671 Park Professional Dental Corp Dentist 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 2018-05-23
1851831218 Latisha Samantha Carter Licensed Vocational Nurse 521 W 97th St., Los Angeles, CA 90044 2017-03-06
1669928230 Travel & Ground Network Inc. Non-emergency Medical Transport (VAN) 605 West 113 Th. Street, Los Angeles, CA 90044 2016-09-01
1295100642 Scharp Community/Behavioral Health 8836 Vermont Ave, Los Angeles, CA 90044 2015-12-10
1356714851 Euna Lee Pharmacist 5822 S Vermont Avenue, Los Angeles, CA 90044 2015-11-05
1518384338 Kiniko Willingham Social Worker 1050 W 91st St, Los Angles, CA 90044 2014-03-19
1619211422 Los Angeles Christian Health Centers Clinic/Center 8511 1/2 Vermont Street, Los Angeles, CA 90044 2012-11-16
1891047510 Yvonne Henderson Marriage & Family Therapist 8730 S. Vermont Ave, Los Angeles, CA 90044 2012-10-04
1669722534 Diana Gutierrez Counselor 9001 S. Vermont Ave., Los Angeles, CA 90044 2012-09-18
1720343304 Rocio Cortez Counselor 90001 South Vermont Ave, Los Angeles, CA 90044 2012-07-10
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194326645 Jamie Bracco Marriage & Family Therapist 564 Lillian Way, Los Angeles, CA 90004-1106 2020-11-02
1174123160 Namita Individual Family and Child Therapists & Associates, Inc. Marriage & Family Therapist 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 2020-10-28
1972103398 Vera Mae Rodriguez Marriage & Family Therapist 124 N Townsend Ave, Los Angeles, CA 90063-2334 2020-10-26
1639778319 Ep Marriage Therapy, Inc. Marriage & Family Therapist 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 2020-10-22
1306445499 Maythal H Eshaghian Marriage & Family Therapist 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 2020-10-20
1134727597 Barbara K. Polland Marriage & Family Therapist 10533 Rountree Rd., Los Angeles, CA 90064 2020-10-16
1528666005 Paul Felipe Estopier Marriage & Family Therapist 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 2020-10-15
1245837970 Catherine Pancheri Marriage & Family Therapist 616 N Curson Ave, Los Angeles, CA 90036-1812 2020-10-06
1003423500 Rachel Goldstein Marriage & Family Therapist 11700 National Blvd # L129, Los Angeles, CA 90064-3669 2020-09-28
1326655473 Robert A Garcia Marriage & Family Therapist 515 E 9th St, Los Angeles, CA 90015-1817 2020-09-23
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90044

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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