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JACKSON SQUIRE FOGARTY
NPI 1730050220
Counselor in Corvallis, OR

Active since September 16, 2025
4455 NE HIGHWAY 20, CORVALLIS, OR 97330(541) 758-5900 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Squire Fogarty NPPES

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

JACKSON SQUIRE FOGARTY (NPI 1730050220) is an individual counselor in Corvallis, Oregon and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1730050220
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJACKSON SQUIRE FOGARTY
Location Address4455 NE HIGHWAY 20Corvallis, OR 97330-9695
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591
Phone(541) 758-5900
Sole ProprietorNo
Enumeration DateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1730050220 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.
4455 NE HIGHWAY 20, Corvallis, OR 97330
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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.

GEORGE WILLIAM KEMPER JR.
Social Worker
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5944
KIRI N. HORSEY MS, LPC
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5946
MS. CASEY JOANNA ROACH MA
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5900
PATRICK OWEN MCGUFFIN
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5900
LAURA CAPEHART
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5900
DEVAN COMPTON
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (503) 234-9591
ANNA SPROSS
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 757-1852
VICTORIA ALEXANDRA ODELL
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Benton County (541) 758-5900

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 Jackson Fogarty's NPI number?

The NPI number for Jackson Fogarty is 1730050220. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Jackson Fogarty located?

Jackson Fogarty practices at 4455 NE Highway 20, Corvallis, OR 97330. The listed phone number is (541) 758-5900.

What is Jackson Fogarty'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 Jackson Fogarty was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.