Jermaine E Jackson
Counselor • Berkeley, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jermaine Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jermaine Jackson was a registered Counselor practicing in Berkeley, CA. Throughout an active medical career spanning 11 years, Jermaine Jackson provided care at the practice location at 2421 BROWNING ST until profile deactivation on 2018-11-13.
Practice Location & Contact Primary Location
2421 Browning St
Berkeley, CA 947022026
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Berkeley, CA
Practicing in Berkeley, CA (14303 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 13, 2018
NPI status registered as active in NPPES database
Registered at 2421 BROWNING ST, BERKELEY, CA 947022026 (Tel: 5109789059)
Registered at 2421 BROWNING ST., BERKELEY, CA 94702 (Tel: 5109789059)
Recorded as JERMAINE JACKSON
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2421 Browning St.
Berkeley, CA 94702
Phone: 5109789059
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