KAITLIN JOSEPHINE JACKSON
NPI 1063160950
Counselor in Bellevue, WA

Active since March 10, 2022
3805 108TH AVE NE STE 204, BELLEVUE, WA 98004(425) 242-1713 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaitlin Josephine Jackson NPPES

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

KAITLIN JOSEPHINE JACKSON (NPI 1063160950) is an individual counselor in Bellevue, Washington and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1063160950
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKAITLIN JOSEPHINE JACKSON
Location Address3805 108TH AVE NE STE 204Bellevue, WA 98004-7613
Mailing Address3805 108th Ave Ne Ste 204Bellevue, WA 98004-7613
Sole ProprietorYes
Enumeration DateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
NPI 1063160950 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.

3805 108TH AVE NE STE 204, Bellevue, WA 98004

Other Providers at the Same Location NPPES 20

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

Counselor
3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
Counselor (Addiction (Substance Use Disorder))
3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
Counselor
3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
Counselor
3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
Social Worker (Clinical)
3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
Social Worker (Clinical)
3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
Counselor
3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
Counselor
3805 108TH AVE NE STE 204
BELLEVUE, WA 98004

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 Kaitlin Jackson's NPI number?

The NPI number for Kaitlin Jackson is 1063160950. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Kaitlin Jackson located?

Kaitlin Jackson practices at 3805 108th Ave NE Ste 204, Bellevue, WA 98004. The listed phone number is (425) 242-1713.

What is Kaitlin 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 Kaitlin Jackson was last updated on March 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.