Willie Jackson
NPI 1144061649 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Mesa, AZ
Willie Jackson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility provider in Mesa, AZ (NPI 1144061649).
Provider details
- NPI number
- 1144061649
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23683875 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
- Behavior Technician106S00000X
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
- 2024-06-06
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Frequently asked questions
- What is Willie Jackson's NPI number?
- Willie Jackson's National Provider Identifier (NPI) is 1144061649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Jackson's specialty?
- Willie Jackson is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Willie Jackson located?
- Willie Jackson's practice location on file with NPPES is 400 N Pima, Mesa, AZ 85201-5907.
- What is Willie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Willie Jackson is (602) 551-0659.
- Is Willie Jackson's NPI active?
- Yes — Willie Jackson's NPI (1144061649) is active in the NPPES registry as of the last update on 2026-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.