Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
LYNETTE JACKSON
Active
Individual
LYNETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
202030210947
CA
101YM0800X
Mental Health Counselor
Primary
202030210947
CA
171400000X
Health & Wellness Coach
202030210947
CA
171M00000X
Case Manager/Care Coordinator
202030210947
CA
171W00000X
Contractor
202030210947
CA
174H00000X
Health Educator
202030210947
CA
175L00000X
Homeopath
202030210947
CA
251300000X
Local Education Agency (LEA)
202030210947
CA
251B00000X
Case Management Agency
202030210947
CA
251E00000X
Home Health Agency
202030210947
CA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
202030210947
CA
Other
Enumeration date
01/08/2026
Last updated
02/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up