MR. COREY JAI JACKSON M.A.
NPI 1194866707
Counselor - Professional in Eugene, OR

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
921 COUNTRY CLUB RD STE 222, EUGENE, OR 97401(541) 686-6000 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Corey Jai Jackson M.a. NPPES

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

MR. COREY JAI JACKSON M.A. (NPI 1194866707) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C4737) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1194866707
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. COREY JAI JACKSONCredential: M.A.
Location Address921 COUNTRY CLUB RD STE 222Eugene, OR 97401-2238
Mailing Address921 Country Club Rd Ste 222Eugene, OR 97401-2238 · (541) 686-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 8, 2007
Last NPPES UpdateMay 25, 2023
NPPES CertifiedMay 25, 2023
NPI 1194866707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C4737
921 COUNTRY CLUB RD STE 222, Eugene, OR 97401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Corey Jai Jackson M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901247600
PECOS Enrollment IDI20240513001953
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

Counselor
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Counselor (Professional)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Counselor (Mental Health)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Marriage & Family Therapist
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Counselor (Professional)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Counselor (Professional)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Counselor (Mental Health)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Counselor (Professional)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401

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 Corey Jackson's NPI number?

The NPI number for Corey Jackson is 1194866707. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Corey Jackson located?

Corey Jackson practices at 921 Country Club Rd Ste 222, Eugene, OR 97401. The listed phone number is (541) 686-6000.

What is Corey Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Corey Jackson enrolled in Medicare?

Yes. Corey Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Corey Jackson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Corey Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corey Jackson was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.