Jackson Wall, APCC, AMFT
NPI 1518577790 · Mental Health Counselor · Santa Monica, CA
Jackson Wall, APCC, AMFT is a Mental Health Counselor provider in Santa Monica, CA (NPI 1518577790).
Provider details
- NPI number
- 1518577790
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- APCC, AMFT
- Sex
- Male
- Sole proprietor
- No
- License
- AMFT120524 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
5 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
- 2020-08-03
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Frequently asked questions
- What is Jackson Wall's NPI number?
- Jackson Wall's National Provider Identifier (NPI) is 1518577790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Wall's specialty?
- Jackson Wall is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jackson Wall located?
- Jackson Wall's practice location on file with NPPES is 1450 20th St, Santa Monica, CA 90404-2906.
- What is Jackson Wall's phone number?
- The practice phone number listed in the NPPES registry for Jackson Wall is (310) 309-6001.
- Is Jackson Wall's NPI active?
- Yes — Jackson Wall's NPI (1518577790) is active in the NPPES registry as of the last update on 2020-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.