Illya Jackson
NPI 1700269149 · Marriage & Family Therapist · Ft Worth, TX
Illya Jackson is a Marriage & Family Therapist provider in Ft Worth, TX (NPI 1700269149).
Provider details
- NPI number
- 1700269149
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- IACCP0064 (CA)
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
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
Mailing address
Registry dates
- Enumerated
- 2015-07-02
- Last updated
- 2015-07-02
Frequently asked questions
- What is Illya Jackson's NPI number?
- Illya Jackson's National Provider Identifier (NPI) is 1700269149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Illya Jackson's specialty?
- Illya Jackson is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Illya Jackson located?
- Illya Jackson's practice location on file with NPPES is 1518 Vaughn Blvd, Ft Worth, TX 76105-2307.
- What is Illya Jackson's phone number?
- The practice phone number listed in the NPPES registry for Illya Jackson is (214) 515-2079.
- Is Illya Jackson's NPI active?
- Yes — Illya Jackson's NPI (1700269149) is active in the NPPES registry as of the last update on 2015-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.