Rachal Jackson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150557 Issued in CA

Practice address

1531 Grand Ave
San Marcos, CA 92078-2463

Phone

(760) 703-4838

NPI assigned

Nov 1, 2024

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1346063096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 RANCHO REAL",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 GRAND AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782463",
            "telephone_number": "760-703-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RACHAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alanna Penecale Iorio, AGNP
• Haley Renee Isaacs
• Bailey Christine Ivicevic
• Kouros Izadi, DMD
• Lauren Jaburg
• Shelli Jackson, PHD
• Kadee Jacobson
• Neicoo Wallace Jacoby
• Rupinderjit K Jadav, FNP-BC
• Suhail M Jafrey, MD

• Marriage & Family Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.