JACKSON HUSSEY
NPI 1609623420
Counselor in Bridgeport, WV

Q: What is Jackson Hussey's NPI number?

The NPI number for Jackson Hussey is 1609623420. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Q: What is Jackson Hussey's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Hussey was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since April 30, 2024PECOS Enrolled

65 PROFESSIONAL PL STE 102, BRIDGEPORT, WV 26330(304) 848-5770 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 14, 2026, Apr 30, 2024 (2 updates tracked since 2024).

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About Jackson Hussey NPPES

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

JACKSON HUSSEY (NPI 1609623420) is an individual counselor in Bridgeport, West Virginia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2024).

NPPES Registry Identity

NPI1609623420

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJACKSON HUSSEY

Location Address65 PROFESSIONAL PL STE 102Bridgeport, WV 26330-0259

Mailing Address65 Professional Pl Ste 102Bridgeport, WV 26330-0259

Phone(304) 848-5770

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2024

Enumeration DateApril 30, 2024

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1609623420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

65 PROFESSIONAL PL STE 102, Bridgeport, WV 26330

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Hussey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022572205

PECOS Enrollment IDI20260709000065

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.

Other Providers at the Same Location NPPES 9

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

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