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

Jackson Roach

Individual provider Mental Health Counselor · NPI 1992368104

Jackson Roach is a Mental Health Counselor in San Jose, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

452 S 1st St
San Jose, CA 95113-2815
Phone: (408) 841-4319
Fax: (408) 286-3855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1992368104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESApril 15, 2019

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