Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Willie Jackson

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mesa, AZ · enumerated 2024.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144061649

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Registry record

Entity type Individual (Type 1)

Name Willie Jackson

Sex Male

Practice address Mesa, AZ, 85201

Phone (602) 551-0659

Enumeration date Jun 6, 2024

Last updated in NPPES Jan 30, 2026

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 23683875 (AZ) Secondary

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

106S00000X Behavior Technician Behavioral Health & Social Service Providers Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1144061649 active?

Yes, as of the latest NPPES snapshot, NPI 1144061649 is active (record last updated 2026-01-30).

How do I verify Willie Jackson's NPI record?

Cross-check NPI 1144061649 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-30.