Kevin Jackson
NPI 1164845400 · Addiction (Substance Use Disorder) Counselor · San Bernardino, CA
Kevin Jackson is a Addiction (Substance Use Disorder) Counselor provider in San Bernardino, CA (NPI 1164845400).
Provider details
- NPI number
- 1164845400
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
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
12 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
- 2014-01-22
- Last updated
- 2020-01-14
- Certified
- 2020-01-14
Frequently asked questions
- What is Kevin Jackson's NPI number?
- Kevin Jackson's National Provider Identifier (NPI) is 1164845400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Jackson's specialty?
- Kevin Jackson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kevin Jackson located?
- Kevin Jackson's practice location on file with NPPES is 621 E Carnagie Dr # 210 San Bernardino Ca 92415, San Bernardino, CA 92415-3919.
- What is Kevin Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Jackson is (909) 386-9767.
- Is Kevin Jackson's NPI active?
- Yes — Kevin Jackson's NPI (1164845400) is active in the NPPES registry as of the last update on 2020-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.