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JENNIFER JACKSON AAC
NPI 1063001311
Counselor in Centralia, WA

Active since January 12, 2021
1616 S GOLD ST STE 4, CENTRALIA, WA 98531(360) 807-4929(360) 807-4160 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Jackson Aac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER JACKSON AAC (NPI 1063001311) is an individual counselor in Centralia, Washington and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1063001311
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER JACKSONCredential: AAC
Location Address1616 S GOLD ST STE 4Centralia, WA 98531-8930
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 807-4929
Fax(360) 807-4160
Sole ProprietorNo
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1063001311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1616 S GOLD ST STE 4, Centralia, WA 98531
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICKY ANNE GEE CPC, AAC
Counselor (Mental Health)
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Lewis County (360) 807-4929
ANTOINETTE KATHLEEN SMITH AAC, CDPT
Counselor (Addiction (Substance Use Disorder))
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Lewis County (360) 807-4929
BRITTYN J FLICK BS
Counselor
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Lewis County (360) 807-4929
JERRY DEAN CLARK SUDR, CPC, AAC
Counselor (Addiction (Substance Use Disorder))
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Lewis County (360) 807-4929
MORGAN ROBBINS LINDBERGH
Counselor
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Lewis County (360) 807-4929
DANIEL JOE ELLIOTT AAC, CPC
Peer Specialist
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Lewis County (360) 807-4929
KRISTOPHER OTTMAN
Case Manager/Care Coordinator
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Lewis County (360) 807-4929
MS. KATRINA LUCAS LMFT
Marriage & Family Therapist
1616 S GOLD ST STE 4
CENTRALIA, WA 98531
Lewis County (505) 994-9178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1063001311. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 1616 S Gold St Ste 4, Centralia, WA 98531. The listed phone number is (360) 807-4929.

What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on January 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.