SHELLEY ANN CRAWFORD JACKSON MS, LMHC, LPC
NPI 1215413406
Counselor in Vancouver, WA

Q: What is Shelley Crawford Jackson's NPI number?

The NPI number for Shelley Crawford Jackson is 1215413406. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Q: What is Shelley Crawford Jackson's specialty?

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

Active since July 11, 2018PECOS Enrolled

13505 NE 10TH AVE, VANCOUVER, WA 98685(503) 284-1463 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2025, Feb 14, 2025, Feb 5, 2019 and 1 more (4 updates tracked since 2018).

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About Shelley Ann Crawford Jackson Ms, Lmhc, Lpc NPPES

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

SHELLEY ANN CRAWFORD JACKSON MS, LMHC, LPC (NPI 1215413406) is an individual counselor in Vancouver, Washington, licensed in Washington (LH61025530) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1215413406

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHELLEY ANN CRAWFORD JACKSONCredential: MS, LMHC, LPC

Location Address13505 NE 10TH AVEVancouver, WA 98685-2711

Mailing AddressPo Box 272Ridgefield, WA 98642-0272 · (360) 284-1463 · Fax (360) 326-7224

Phone(503) 284-1463

Sole ProprietorNo

Enumeration DateJuly 11, 2018

Last NPPES UpdateFebruary 22, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2025

✔ NPI 1215413406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · LH61025530

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C5800 (OR)

13505 NE 10TH AVE, Vancouver, WA 98685

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Other Names 1

Former Name (1)Shelley Crawford Jackson

Secondary Practice Location 1

Location 1655 W Columbia Way Ste 400Vancouver, WA 98660-3613 · Phone (360) 433-9664

Other Identifiers 1

Medicaid2104954WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelley Ann Crawford Jackson Ms, Lmhc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 16

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

HANNAH JOSLIN LICSW

Social Worker (Clinical)