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

Samantha L Jackson

Individual provider Mental Health Counselor · NPI 1174906549

Samantha L Jackson is a Mental Health Counselor in Emeryville, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1335 Stanford Ave
Emeryville, CA 94608-2536
Phone: (510) 647-5101
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 number1174906549
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2015
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address1335 Stanford Ave, Emeryville, CA 94608-2536

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