Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donetta Jackson

Individual provider Marriage & Family Therapist · NPI 1639206527

Donetta Jackson is a Marriage and Family Therapist in Bellflower, California. Qualified in 1999, 27 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

9400 Rosecrans Ave Fl 5
Bellflower, CA 90706-2246
Phone: (562) 807-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT38712 (CA)

Record details

NPI number1639206527
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJuly 28, 2024
Certification dateJuly 28, 2024
Mailing address9400 Rosecrans Ave Fl 5, Bellflower, CA 90706-2246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bellflower