Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JESHE JACKSON
NPI 1366363194
Counselor - Mental Health in Bend, OR

The NPI number for Jeshe Jackson is 1366363194. It was assigned to this individual provider in the NPPES registry on July 25, 2026.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Jeshe Jackson was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2026

NPPES record added: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jeshe Jackson NPPES

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

JESHE JACKSON (NPI 1366363194) is an individual mental health provider in Bend, Oregon and active in the NPI registry since July 2026.

NPI1366363194

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJESHE JACKSON

Location Address20370 POE SHOLES DRBend, OR 97703-7938

Mailing Address393 Center Ridge DrCulver, OR 97734-1501 · (831) 566-0000

Sole ProprietorYes

Enumeration DateJuly 25, 2026

NPPES CertifiedJuly 25, 2026

✔ NPI 1366363194 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

20370 POE SHOLES DR, Bend, OR 97703

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

Registered Nurse