IndividualActive
Shannon Jackson
NPI 1558742395 · Counselor · La Mesa, CA
Shannon Jackson is a Counselor provider in La Mesa, CA (NPI 1558742395).
Provider details
- NPI number
- 1558742395
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LPCC658 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4990 Williams Ave
La Mesa, CA 91942-7409
Phone: (619) 668-4265
Fax: (619) 668-4264
Street-level locationGet directions
Mailing address
4990 Williams Ave
La Mesa, CA 91942-7409
Registry dates
- Enumerated
- 2015-06-17
- Last updated
- 2015-06-17
Frequently asked questions
- What is Shannon Jackson's NPI number?
- Shannon Jackson's National Provider Identifier (NPI) is 1558742395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Jackson's specialty?
- Shannon Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Shannon Jackson located?
- Shannon Jackson's practice location on file with NPPES is 4990 Williams Ave, La Mesa, CA 91942-7409.
- What is Shannon Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Jackson is (619) 668-4265.
- Is Shannon Jackson's NPI active?
- Yes — Shannon Jackson's NPI (1558742395) is active in the NPPES registry as of the last update on 2015-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.