CARLA R JACKSON
NPI 1114799335
Counselor in Seattle, WA

Q: What is Carla Jackson's NPI number?

The NPI number for Carla Jackson is 1114799335. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Q: What is Carla Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carla Jackson was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 23, 2023

2212 S JACKSON ST, SEATTLE, WA 98144(206) 322-2387 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2026, Oct 23, 2023 (2 updates tracked since 2023).

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About Carla R Jackson NPPES

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

CARLA R JACKSON (NPI 1114799335) is an individual counselor in Seattle, Washington and active in the NPI registry since October 2023. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1114799335

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCARLA R JACKSON

Location Address2212 S JACKSON STSeattle, WA 98144-2591

Mailing Address2326 70th Ave WUniversity Place, WA 98466-7661 · (253) 239-8277

Phone(206) 322-2387

Sole ProprietorYes

Enumeration DateOctober 23, 2023

Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1114799335 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.

2212 S JACKSON ST, Seattle, WA 98144

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Secondary Practice Location 1

Location 11305 Tacoma Ave STacoma, WA 98402-1903 · Phone (253) 381-5797

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.

KAITLYN PAIGE MACH

Counselor