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

Kellie Jackson

Individual provider Mental Health Counselor · NPI 1538604673

Kellie Jackson is a Mental Health Counselor in Pasadena, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

100 W Walnut St Ste 375
Pasadena, CA 91124-0001
Phone: (626) 395-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 112050 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 112050 (CA)
Rehabilitation Practitioner Taxonomy 225400000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538604673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2016
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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