Individual provider

Lynette Jackson

Addiction (Substance Use Disorder) Counselor Health & Wellness Coach Contractor

Lynette Jackson is a Mental Health Counselor in Modesto, CA, registered under NPI 1154288256. This provider registers 11 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2200 STANDIFORD AVE APT 126, Modesto, CA 95350. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2200 STANDIFORD AVE APT 126, Modesto, CA 95350 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
202030210947 CA Addiction (Substance Use Disorder)…
202030210947 CA Health & Wellness Coach
202030210947 CA Contractor
202030210947 CA Case Manager/Care Coordinator
202030210947 CA Health Educator
202030210947 CA Home Health Agency
202030210947 CA Homeopath
202030210947 CA Local Education Agency (LEA)
202030210947 CA Intellectual and/or Developmental…
202030210947 CA Case Management Agency
202030210947 CA Mental Health Counselor primary

This provider holds licence 202030210947 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 202030210947 CA
171400000X Health & Wellness Coach 202030210947 CA
171W00000X Contractor 202030210947 CA
171M00000X Case Manager/Care Coordinator 202030210947 CA
174H00000X Health Educator 202030210947 CA
251E00000X Home Health Agency 202030210947 CA
175L00000X Homeopath 202030210947 CA
251300000X Local Education Agency (LEA) 202030210947 CA
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility 202030210947 CA
251B00000X Case Management Agency 202030210947 CA
101YM0800X Mental Health Counselor Mental Health 202030210947 CA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1154288256 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 8, 2026
Last updatedFeb 10, 2026
StatusActive
Sole proprietorYes
GenderFemale
Practice address 2200 STANDIFORD AVE APT 126
Modesto, CA 95350
(209) 569-3351
Fax (209) 290-3587
This record was updated on Feb 10, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1154288256 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 5 4 2 8 8 2 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 1 4 4 8 7 2 1

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1154288256?
NPI 1154288256 is the National Provider Identifier assigned to Lynette Jackson in Modesto, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Lynette Jackson?
The phone number on file with NPPES is (209) 569-3351, last updated Feb 10, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1154288256 a valid number?
Yes. 1154288256 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.