SAMANTHA NAILAH MITCHELLE JACKSON
NPI 1720653603
Counselor - Mental Health in Carson, CA
NPI Status: Active since May 24, 2021
Contact Information
649 E ALBERTONI ST STE 100
CARSON, CA
ZIP 90746
Phone: (310) 436-9300
- Individual
- Female
- Counselor
- Mental Health
About SAMANTHA JACKSON
This page provides the complete NPI Profile along with additional information for Samantha Jackson, a provider established in Carson, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1720653603 assigned on May 2021. The practitioner's primary taxonomy code is 101YM0800X with license number ACSW102031 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1720653603
- Provider Name
- SAMANTHA NAILAH MITCHELLE JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 649 E ALBERTONI ST STE 100 CARSON, CA 90746
- Location Phone
- (310) 436-9300
- Mailing Address
- 649 E ALBERTONI ST STE 100 CARSON, CA 90746
- Mailing Phone
- (310) 436-9300
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2021
- Last Update Date
- 08-10-2022
- Code Navigator
A mental health counselor like Samantha Jackson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- ACSW102031
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 102031 (CA) |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | ACSW102031 (CA) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 6 | 5 | 3 | 6 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 12 | 5 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 1 + 2 + 5 + 6 + 6 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1720653603 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275813073 | EDITH MERCADO-JIMENEZ B.A. Individual | Rehabilitation Practitioner | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 279-9810 |
| 1750641445 | STAR VIEW BEHAVIORAL HEALTH, INC. Organization | Community/Behavioral Health | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 221-6336 |
| 1932345824 | MS. TERESA ALCANTAR NELSON L.C.S.W. Individual | Social Worker (Clinical) | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1851436711 | MS. LIVIER ESMERALDA SANDOVAL LCSW Individual | Social Worker (Clinical) | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1881314979 | CARLOS BATRES Individual | Student in an Organized Health Care Education/Training Program | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1932876372 | DENIELLE DOMINGUEZ Individual | Marriage & Family Therapist | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1285159277 | MISS ADRINA P GARCIA Individual | Counselor (Mental Health) | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1518512490 | REINA BICCICHE Individual | Marriage & Family Therapist | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1033818182 | CLAUDIA MONET MARIN Individual | Marriage & Family Therapist | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1780372193 | MARILYN MONIQUE RUIZ Individual | Marriage & Family Therapist | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1114320421 | ROSALIA BERNAL Individual | Social Worker | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1245939214 | ESTEFANI NATALIA MANTANICO Individual | Social Worker | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1285286641 | YEDID AZAIRA MONDRAGON Individual | Peer Specialist | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1538414818 | MISS JESENYA FRAGA Individual | Case Manager/Care Coordinator | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1750079513 | SUSANA ALVAREZ Individual | Counselor (Mental Health) | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1780241018 | CINDY MARLENE BARRON Individual | Social Worker | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1942899448 | KAREN MONTSERRAT GONZALEZ Individual | Rehabilitation Practitioner | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1053998351 | DESTINEY-AMBER RODRIGUEZ Individual | Community Health Worker | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1205423746 | MARY STEPHANIE BARRERA Individual | Community Health Worker | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
| 1275089591 | LILIBETH AVILA Individual | Community Health Worker | 649 E ALBERTONI ST STE 100 CARSON, CA 90746 (310) 436-9300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720653603, enumerated in the NPI registry as an "individual" on May 24, 2021
The provider is located at 649 E Albertoni St Ste 100 Carson, Ca 90746 and the phone number is (310) 436-9300
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
This NPI record was last updated on May 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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