Organization Active NPI

Naomi Jackson the Profession of Marriage and Family Therapy

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1760997217
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT80560 Issued in CA
Legal business name
NAOMI JACKSON THE PROFESSION OF MARRIAGE AND FAMILY THERAPY
Practice address
101 E Redlands Blvd Ste 246
Redlands, CA 92373-4725
Phone
(909) 674-4289
Fax
(909) 363-8977
NPI assigned
Dec 6, 2017
Last updated
Dec 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Naomi Elnora Jackson, LMFTNPI 1417337304
Title
Owner
Phone
(909) 674-4289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT80560 CA Primary

Addresses

Primary practice location

101 E Redlands Blvd Ste 246
Redlands, CA 92373-4725

Mailing address

101 E Redlands Blvd Ste 246
Redlands, CA 92373-4725
Phone (909) 674-4289

National Provider Directory

National Provider Directory

Locations

101 E Redlands Blvd
Ste 246
Redlands, CA 92373
Phone (909) 674-4289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1760997217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 246",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734725",
            "telephone_number": "909-674-4289",
            "fax_number": "909-363-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 246",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734725",
            "telephone_number": "909-674-4289",
            "fax_number": "909-363-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAOMI JACKSON THE PROFESSION OF MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "ELNORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-674-4289",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT80560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.