MR. BRIAN M. JACKSON L.P.C.
NPI 1275048167
Counselor - Professional in Coburg, OR
About Mr. Brian M. Jackson L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRIAN M. JACKSON L.P.C. (NPI 1275048167) is an individual professional provider in Coburg, Oregon, licensed in Oregon (C5715) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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. Brian M. Jackson L.p.c. 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.
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 Brian Jackson's NPI number?
The NPI number for Brian Jackson is 1275048167. It was assigned to this individual provider in the NPPES registry on December 13, 2017.
Where is Brian Jackson located?
Brian Jackson practices at 91150 Coburg Industrial Way Serenity Lane, Coburg, OR 97408. The listed phone number is (541) 687-1110.
What is Brian Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Brian Jackson enrolled in Medicare?
Yes. Brian 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 Brian Jackson accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brian 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 Brian Jackson was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Brian M. Jackson, L.P.C. · NPI 1275048167
Professional provider in Coburg, Oregon. Individual provider, active in the CMS NPPES registry since December 13, 2017.
## Identity
- **NPI:** 1275048167 (Entity type: Individual)
- **Enumerated:** December 13, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C5715 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 91150 COBURG INDUSTRIAL WAY SERENITY LANE, Coburg, OR 97408
- **Phone:** (541) 687-1110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275048167) · Data from the CMS NPPES public registry.