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

Michael L Jackson, MFT

Individual provider Mental Health Counselor · NPI 1740478155

Michael L Jackson, MFT is a Marriage and Family Therapist in Pasadena, California. Qualified in 1981, 45 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
45
Licensed in
CA
In the registry since
2007
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

448 S Marengo Ave
Pasadena, CA 91101-3113
Phone: (626) 585-9146
Fax: (626) 792-4308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MFC 16923 (CA)

Record details

NPI number1740478155
Entity typeIndividual (Type 1)
GenderMale
Credentials MFT
Sole proprietorYes
NPI enumeratedOctober 10, 2007
Last updated in NPPESOctober 10, 2007

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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