Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912386509 Individual Practitioner Male Practitioner

Joseph Jackson

Peer Specialist • Greenbrae, CA

Professional Overview & Biography Verified Profile Summary

Joseph Jackson is a registered healthcare professional specializing in Peer Specialist in Greenbrae, CA. Practice services are available at 250 BON AIR RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

250 Bon Air Rd

Greenbrae, CA 949041702

Telephone 7073277784
Associated Practice Facility / Clinic
🏢 Marin Community Clinic Facility NPI 1124021738

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Greenbrae, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Greenbrae, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Meskerem Daba , RN, BSN

Registered Nurse - Psychiatric/Mental Health

NPI 1003286246

Registered Nurse, Bachelor of Science in Nursing

Dr. Alec Chang , DO

Psychiatry & Neurology - Psychiatry

NPI 1013259415

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephen Allison , MD

Psychiatry & Neurology - Psychiatry

NPI 1023336294

Doctor of Medicine (M.D.)

Annie Stoddard

Rehabilitation Practitioner

NPI 1023505823
Sarena Napier , ASW

Counselor - Mental Health

NPI 1023546546

Associate Social Worker

Juliet Huntington , CNM

Advanced Practice Midwife

NPI 1023554060

Certified Nurse Midwife

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address July 13, 2023

Registered at 6044 OAK LEAF PL, ROHNERT PARK, CA 949282991 (Tel: 7073277784)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2023

Peer Specialist

📍
Updated Practice Location June 12, 2023

Registered at 250 BON AIR RD, GREENBRAE, CA 949041702 (Tel: 7073277784)

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2015

Registered at 3230 KERNER BLVD, SAN RAFAEL, CA 949014840 (Tel: 7073277784)

📍
Updated Business Mailing Address June 30, 2015

Registered at 2014 BURGESS DR, SANTA ROSA, CA 954074527 (Tel: 7073277784)

👤
Provider Name / Credentials Updated June 30, 2015

Recorded as JOSEPH JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Counselor

🟢
Initial NPI Registration & Enumeration May 28, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912386509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2015
Last Update: July 13, 2023
Sole Proprietor: Yes

Mailing Address

6044 Oak Leaf Pl

Rohnert Park, CA 949282991

Phone: 7073277784

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.