ALICIA JACKSON M.A., C.M.H.S.
NPI 1659622975
Counselor in Longview, WA

Active since September 26, 2012
720 14TH AVE., LONGVIEW, WA 98632(360) 423-0203(360) 423-5086 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alicia Jackson M.a., C.m.h.s. NPPES

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

ALICIA JACKSON M.A., C.M.H.S. (NPI 1659622975) is an individual counselor in Longview, Washington, licensed in Washington (60926696) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1659622975
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameALICIA JACKSONCredential: M.A., C.M.H.S.
Location Address720 14TH AVE.Longview, WA 98632
Mailing Address921 14th AvenueLongview, WA 98632 · (360) 423-0203 · Fax (360) 577-0269
Fax(360) 423-5086
Sole ProprietorNo
Enumeration DateSeptember 26, 2012
Last NPPES UpdateMarch 6, 2019
NPI 1659622975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · 60926696
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.

720 14TH AVE., Longview, WA 98632

Other Identifiers 1

Medicaid2097719WA

Other Providers at the Same Location NPPES 2

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

Counselor
720 14TH AVE.
LONGVIEW, WA 98632
Counselor (Mental Health)
720 14TH AVE.
LONGVIEW, WA 98632

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 Alicia Jackson's NPI number?

The NPI number for Alicia Jackson is 1659622975. It was assigned to this individual provider in the NPPES registry on September 26, 2012.

Where is Alicia Jackson located?

Alicia Jackson practices at 720 14th Ave., Longview, WA 98632. The listed phone number is (360) 423-0203.

What is Alicia Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Alicia Jackson was last updated on March 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.