Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samantha L Jackson

Mental Health Counselor in Emeryville, CA · enumerated 2015 · practices at Pain and Rehabilitative Consultants Medical Group.

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

National Provider Identifier

1174906549

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Registry record

Entity type Individual (Type 1)

Name Samantha L Jackson

Sex Female

Practice address 1335 Stanford Ave, Emeryville, CA, 94608

Phone (510) 647-5101

Enumeration date Jul 3, 2015

Last updated in NPPES Apr 11, 2025

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary

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.

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Frequently asked questions

Where does Samantha Jackson practice?

The practice location on file with NPPES is in Emeryville, CA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Samantha Jackson?

The National Provider Identifier (NPI) for Samantha Jackson is 1174906549, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-11.