Theo Jackson
NPI 1083966261 · Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA
Theo Jackson is a Addiction (Substance Use Disorder) Counselor provider in Santa Cruz, CA (NPI 1083966261).
Provider details
- NPI number
- 1083966261
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
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
13 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2012-10-11
- Last updated
- 2012-10-11
Frequently asked questions
- What is Theo Jackson's NPI number?
- Theo Jackson's National Provider Identifier (NPI) is 1083966261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theo Jackson's specialty?
- Theo Jackson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Theo Jackson located?
- Theo Jackson's practice location on file with NPPES is 200 7th Ave, Santa Cruz, CA 95062-4668.
- What is Theo Jackson's phone number?
- The practice phone number listed in the NPPES registry for Theo Jackson is (831) 462-1060.
- Is Theo Jackson's NPI active?
- Yes — Theo Jackson's NPI (1083966261) is active in the NPPES registry as of the last update on 2012-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.