Stacie Jackson
NPI 1073292306 · Addiction (Substance Use Disorder) Counselor · Pomona, CA
Stacie Jackson is a Addiction (Substance Use Disorder) Counselor provider in Pomona, CA (NPI 1073292306).
Provider details
- NPI number
- 1073292306
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R1494190123 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-13
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Frequently asked questions
- What is Stacie Jackson's NPI number?
- Stacie Jackson's National Provider Identifier (NPI) is 1073292306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacie Jackson's specialty?
- Stacie Jackson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Stacie Jackson located?
- Stacie Jackson's practice location on file with NPPES is 831 E Arrow Hwy, Pomona, CA 91767-2535.
- What is Stacie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Stacie Jackson is (909) 398-4383.
- Is Stacie Jackson's NPI active?
- Yes — Stacie Jackson's NPI (1073292306) is active in the NPPES registry as of the last update on 2024-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.