Michelle R Jackson-McCoy, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

21200 Oxnard St Ste 6132
Woodland Hills, CA 91367-5014

Phone

(310) 403-6533

NPI assigned

Jan 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1114631991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21200 OXNARD ST # 6132",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675014",
            "telephone_number": "310-403-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 OXNARD ST STE 6132",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675014",
            "telephone_number": "310-403-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-MCCOY",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Ives, M.A., MFT
• Shawn Makoto Iwaoka
• J and L Goldman, Inc (Comforcare Senior Services Woodland Hills)
• Nicole Jabourian
• Tashaka Jack, LVN
• Alexis Victoria Jackson
• Nichalette Jackson
• Shamonte Jackson
• Shaunta Lenae Jackson, SHAUNTA
• Tina Jackson

• Counseling Psychologist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.