Active NPI
Anthony Jackson
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1396324554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 16268
- Practice address
- 1550 Juliesse Ave
Sacramento, CA 95815-1803 - Phone
- (916) 921-6598
- NPI assigned
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16268 | CA | Primary |
Addresses
Primary practice location
1550 Juliesse Ave
Sacramento, CA 95815-1803
Mailing address
1550 Juliesse Ave
Sacramento, CA 95815-1803
Phone (916) 921-6598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16268 | CA | MD | Acupuncturist |
Interoperability endpoints
- ajackson769527@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759622400000",
"number": "1396324554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 JULIESSE AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958151803",
"telephone_number": "916-921-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 JULIESSE AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958151803",
"telephone_number": "916-921-6598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-05",
"last_updated": "2025-10-05",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "16268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.