IndividualActive
Ty'Shunna Jackson
NPI 1154518835 · Addiction (Substance Use Disorder) Counselor · Venice, CA
Provider details
- NPI number
- 1154518835
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
717 Lincoln Blvd
Venice, CA 90291-2845
Phone: (310) 399-9883
Street-level locationGet directions
Mailing address
26460 Summit Cir
Santa Clarita, CA 91350-2991
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2007-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.