MICHAEL L JACKSON MFT NPI 1740478155

NPI Information

  • NPI: 1740478155
  • Provider Name: MICHAEL L JACKSON, MFT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 448 S MARENGO AVE
    PASADENA, CA
    ZIP 91101
  • Phone: (626) 585-9146

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NPI Details

Michael L Jackson, MFT is a mental health counselor in Pasadena, CA. Michael L Jackson, MFT NPI is 1740478155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

448 S MARENGO AVE
PASADENA, CA
ZIP 91101-113
Phone: (626) 585-9146
Fax: (626) 792-4308

The NPI 1740478155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMFC 16923CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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