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BRUCE E JACKSON MA
NPI 1598819567
Counselor - Mental Health in Gig Harbor, WA

Active since January 23, 2007Opted out of Medicare · through Feb 15, 2028
6625 WAGNER WAY STE 320, GIG HARBOR, WA 98335(253) 858-7056(253) 858-8028 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2021, Mar 15, 2021, Feb 15, 2017 (3 updates tracked since 2017).

About Bruce E Jackson Ma NPPES

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

BRUCE E JACKSON MA (NPI 1598819567) is an individual mental health provider in Gig Harbor, Washington, licensed in Washington (LH00011181) and active in the NPI registry since January 2007. He has opted out of Medicare through February 15, 2028 and maintains a secondary practice location in Poulsbo.

NPPES Registry Identity

NPI1598819567
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRUCE E JACKSONCredential: MA
Location Address6625 WAGNER WAY STE 320Gig Harbor, WA 98335-8392
Mailing Address6625 Wagner Way Ste 320Gig Harbor, WA 98335-8392 · (253) 858-7056 · Fax (253) 858-8028
Phone(253) 858-7056
Fax(253) 858-8028
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateApril 13, 20213 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1598819567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH00011181
6625 WAGNER WAY STE 320, Gig Harbor, WA 98335
Open in Google Maps ↗

Secondary Practice Location 1

Location 119910 Viking Ave NW Ste 103Poulsbo, WA 98370-7145 · Phone (360) 979-9970

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bruce E Jackson Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 15, 2024 through February 15, 2028.

Opt-Out Effective DateFebruary 15, 2024
Opt-Out In Effect ThroughFebruary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

MRS. NATALIE RAMIREZ MSW
Social Worker (Clinical)
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335
Pierce County (253) 858-7056
AUJANAE MCKINNEY CDAC II
Counselor (Mental Health)
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335
Pierce County (253) 858-7056
MICHAEL JOSEPH ARENSON ARNP
Nurse Practitioner (Psychiatric/Mental Health)
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335
Pierce County (253) 858-7056
EUNICE KIM SETIAWAN MA, LMHCA, NCC
Counselor (Mental Health)
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335
Pierce County (253) 858-7056
TARA CELLETTI LAICSW
Social Worker (Clinical)
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335
Pierce County (253) 858-7056
SUMMIT HEALTH MANAGEMENT PLLC
Counselor (Professional)
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335
Pierce County (509) 944-0545
PAIGE PEREIRA MSW
Social Worker (Clinical)
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335
Pierce County (253) 858-7056
KAYLEE MAE HALL MSW
Social Worker (Clinical)
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335
Pierce County (253) 858-7056

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 Bruce Jackson's NPI number?

The NPI number for Bruce Jackson is 1598819567. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Bruce Jackson located?

Bruce Jackson practices at 6625 Wagner Way Ste 320, Gig Harbor, WA 98335. The listed phone number is (253) 858-7056.

What is Bruce Jackson's specialty?

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

Is Bruce Jackson enrolled in Medicare?

No. Bruce Jackson has opted out of Medicare through February 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Bruce Jackson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bruce 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 Bruce Jackson was last updated on April 13, 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.