LLOYD CHRIS JACKSON MCM, CADC I, CRM II
NPI 1295411338
Peer Specialist in Portland, OR

Active since June 23, 2023
10564 SE WASHINGTON ST, PORTLAND, OR 97216(503) 228-9229 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lloyd Chris Jackson Mcm, Cadc I, Crm Ii NPPES

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

LLOYD CHRIS JACKSON MCM, CADC I, CRM II (NPI 1295411338) is an individual peer specialist in Portland, Oregon, licensed in Oregon (23-CRM-II-0094) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1295411338
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLLOYD CHRIS JACKSONCredential: MCM, CADC I, CRM II
Location Address10564 SE WASHINGTON STPortland, OR 97216-2809
Mailing Address10564 Se Washington StPortland, OR 97216-2809 · (503) 228-9229
Sole ProprietorNo
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
NPI 1295411338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 23-CRM-II-0094
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 23-05-10745 (OR)
10564 SE WASHINGTON ST, Portland, OR 97216

Accepted Insurance

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.

Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Mental Health)
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216

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 Lloyd Jackson's NPI number?

The NPI number for Lloyd Jackson is 1295411338. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Lloyd Jackson located?

Lloyd Jackson practices at 10564 SE Washington St, Portland, OR 97216. The listed phone number is (503) 228-9229.

What is Lloyd Jackson's specialty?

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

What insurance does Lloyd Jackson accept?

Health plans from Moda Health Plan, Inc. list Lloyd 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 Lloyd Jackson was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.