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MR. BRIAN M. JACKSON L.P.C.
NPI 1275048167
Counselor - Professional in Coburg, OR

Active since December 13, 2017PECOS EnrolledAccepts Medicare Assignment
91150 COBURG INDUSTRIAL WAY SERENITY LANE, COBURG, OR 97408(541) 687-1110 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2021, Dec 13, 2017 (2 updates tracked since 2017).

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

NPI1275048167
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRIAN M. JACKSONCredential: L.P.C.
Location Address91150 COBURG INDUSTRIAL WAY SERENITY LANECoburg, OR 97408
Mailing AddressP.o. Box 8549 Serenity Lane, 91150 Coburg Industrial WayCoburg, OR 97408 · (541) 687-1110
Phone(541) 687-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 13, 2017
Last NPPES UpdateApril 8, 20212 updates tracked since enumeration
NPPES CertifiedApril 8, 2021
✔ NPI 1275048167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in OR · C5715✔ Licensed in AZ · LPC-13803
91150 COBURG INDUSTRIAL WAY SERENITY LANE, Coburg, OR 97408
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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, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID8729421870
PECOS Enrollment IDI20240206003251
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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Griffin & Associated Practitioners
5.8 mi
Mental Health
66 CLUB RD STE 350
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 26 clinicians in this Medicare group
NPI 1336678952 (541) 343-1728

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Brian Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Jackson reassigns Medicare benefits to Griffin & Associated Practitioners (Eugene, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Jackson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer 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.