Lynor Elizabeth Jackson-Marks, L.C.S.W., PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW16536 Issued in CA

Practice address

2425 Bisso LN Ste 280
Concord, CA 94520-4860

Phone

(925) 646-5246

Fax

(925) 646-5662

NPI assigned

Feb 9, 2007

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

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902947229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BISSO LANE 280",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-646-5246",
            "fax_number": "925-646-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BISSO LN STE 280",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204860",
            "telephone_number": "925-646-5246",
            "fax_number": "925-646-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-MARKS",
        "first_name": "LYNOR",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "L.C.S.W., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW16536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Jabuka, MARRIAGE FAMILY COUN
• Veronica Jacinto Padilla
• Emely Jacinto
• Imara Jackson-Goudy
• Ariel Jackson-Linvel
• Bethany N Jackson-Russo
• Ajani Dechaun Jackson, MD
• Alisa Mae Jackson
• Angilia Jackson
• Ariana Jackson

• Mental Health Counselor in Concord, CA
• Providers in Concord, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.