MR. BRANDON SCOTT BACKUS JACKSON
NPI 1164952644
Peer Specialist in Seattle, WA

Active since June 15, 2017
515 3RD AVE, SEATTLE, WA 98104(206) 464-1570 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 17, 2025, Apr 8, 2025, Jun 21, 2023 and 1 more (4 updates tracked since 2017).

About Mr. Brandon Scott Backus Jackson NPPES

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

MR. BRANDON SCOTT BACKUS JACKSON (NPI 1164952644) is an individual peer specialist in Seattle, Washington and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1164952644
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. BRANDON SCOTT BACKUS JACKSON
Location Address515 3RD AVESeattle, WA 98104-2304
Mailing Address515 3rd AveSeattle, WA 98104-2304 · (206) 464-1570
Sole ProprietorNo
Enumeration DateJune 15, 2017
Last NPPES UpdateNovember 17, 20254 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
NPI 1164952644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselorTaxonomy 101Y00000X · License CG61445547 (WA)
Also ListedBehavior TechnicianTaxonomy 106S00000X
515 3RD AVE, Seattle, WA 98104

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.

Case Manager/Care Coordinator
515 3RD AVE
SEATTLE, WA 98104
Counselor
515 3RD AVE
SEATTLE, WA 98104
Student in an Organized Health Care Education/Training Program
515 3RD AVE
SEATTLE, WA 98104
Peer Specialist
515 3RD AVE
SEATTLE, WA 98104
Social Worker
515 3RD AVE
SEATTLE, WA 98104
Case Manager/Care Coordinator
515 3RD AVE
SEATTLE, WA 98104
Counselor
515 3RD AVE
SEATTLE, WA 98104
Counselor (Mental Health)
515 3RD AVE
SEATTLE, WA 98104

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 Brandon Backus Jackson's NPI number?

The NPI number for Brandon Backus Jackson is 1164952644. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Brandon Backus Jackson located?

Brandon Backus Jackson practices at 515 3rd Ave, Seattle, WA 98104. The listed phone number is (206) 464-1570.

What is Brandon Backus Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Brandon Backus Jackson was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.