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Shalimar Jackson
NPI 1306158761 · Mental Health Counselor · San Diego, CA
Shalimar Jackson is a Mental Health Counselor provider in San Diego, CA (NPI 1306158761).
Provider details
- NPI number
- 1306158761
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
9445 Farnham St
San Diego, CA 92123-1308
Phone: (858) 380-4676
Street-level locationGet directions
Mailing address
9445 Farnham St
San Diego, CA 92123-1308
Registry dates
- Enumerated
- 2010-07-13
- Last updated
- 2010-07-13
Frequently asked questions
- What is Shalimar Jackson's NPI number?
- Shalimar Jackson's National Provider Identifier (NPI) is 1306158761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shalimar Jackson's specialty?
- Shalimar Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Shalimar Jackson located?
- Shalimar Jackson's practice location on file with NPPES is 9445 Farnham St, San Diego, CA 92123-1308.
- What is Shalimar Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shalimar Jackson is (858) 380-4676.
- Is Shalimar Jackson's NPI active?
- Yes — Shalimar Jackson's NPI (1306158761) is active in the NPPES registry as of the last update on 2010-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.