IndividualActive
Tracey Jackson
NPI 1558486803 · Counselor · Sacramento, CA
Tracey Jackson is a Counselor provider in Sacramento, CA (NPI 1558486803).
Provider details
- NPI number
- 1558486803
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
4612 Roosevelt Ave
Sacramento, CA 95820
Phone: (916) 457-3129
Street-level locationGet directions
Mailing address
4612 Roosevelt Ave
Sacramento, CA 95820-4520
Additional practice locations (1)
- 7000 Franklin Blvd Ste 200Sacramento, CA 95823-1865Phone: (916) 394-0800Fax: (916) 429-7824
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2019-01-11
Frequently asked questions
- What is Tracey Jackson's NPI number?
- Tracey Jackson's National Provider Identifier (NPI) is 1558486803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracey Jackson's specialty?
- Tracey Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Tracey Jackson located?
- Tracey Jackson's practice location on file with NPPES is 4612 Roosevelt Ave, Sacramento, CA 95820.
- What is Tracey Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tracey Jackson is (916) 457-3129.
- Is Tracey Jackson's NPI active?
- Yes — Tracey Jackson's NPI (1558486803) is active in the NPPES registry as of the last update on 2019-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.