Adeline Jackson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

74 Issued in HI

Practice address

1300 Hilltop Dr Ste 200
Redding, CA 96003-3874

Phone

(530) 440-9696

NPI assigned

Mar 28, 2008

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kings View

  dba Shasta County Assisted Outpatient Treatment (AOT)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redding, CA
  • NPI 1063090827
  NPD
• Kings View Corporation

  dba ECM/CS and Managed Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1790114007
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1487826525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HILLTOP DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033874",
            "telephone_number": "530-440-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HILLTOP DR STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033874",
            "telephone_number": "530-440-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ADELINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Isola, LMFT
• Katherine Louise Iverson
• J Healing Clinic Occupational Therapy
• J. David Moody, DDS, a Professional Dental Corporation (Affordable Dentures & Implants - Redding)
• Jack W Finch M.D. Inc (Shasta Family Practice Medical Group)
• Dana Elizabeth Jackson, AMFT
• James Fred Jackson
• Keith Allen Jackson
• Natalie R Jackson, D.P.T.
• Sandra Michelle Jackson

• Marriage & Family Therapist in Redding, CA
• Providers in Redding, 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 Apr 18, 2022; 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.