Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNETTE JACKSON
Active Sole ProprietorLYNETTE JACKSON is a Mental Health Counselor healthcare provider located in MODESTO, California. NPI 1154288256 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MODESTO, CA
Registration Details
- NPI Number
- 1154288256
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2026 (0.62275071327115 yrs)
- Last Updated
- Feb 10, 2026
- Licenses
-
202030210947 (CA)202030210947 (CA)202030210947 (CA)202030210947 (CA)202030210947 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 STANDIFORD AVE APT 126MODESTO, CA, 953506540Browse CA providers · Browse ZIP 95350
- Phone
- 2095693351
- Fax
- 2092903587
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Health & Wellness Coach
- Additional Specialty
- Contractor
- Additional Specialty
- Case Manager
- Additional Specialty
- Health Educator
Other Mental Health Counselor Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. LEROY OTTO EGENBERGER | MA | 1922082726 |
| MRS. MARIANNE PECK | MFT | 1487674636 |
| MR. RICHARD ARRIOLA MARTINEZ | LCSW | 1487665923 |
| DR. HIEP VOQUY | MD | 1558434902 |
| MRS. VALORIE J DAVIS | LMFT | 1720156300 |
| MS. CONNIE LYNN TIPTON | — | 1366578650 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.