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ELIJAH MATTHEW JACKSON
NPI 1912526336
Counselor in Corvallis, OR

Active since April 15, 2020
4455 NE HIGHWAY 20, CORVALLIS, OR 97330(541) 757-1852 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elijah Matthew Jackson NPPES

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

ELIJAH MATTHEW JACKSON (NPI 1912526336) is an individual counselor in Corvallis, Oregon and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1912526336
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameELIJAH MATTHEW JACKSON
Location Address4455 NE HIGHWAY 20Corvallis, OR 97330-9695
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9594
Phone(541) 757-1852
Sole ProprietorNo
Enumeration DateApril 15, 2020
NPPES CertifiedApril 15, 2020
✔ NPI 1912526336 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 Elijah Jackson's NPI number?

The NPI number for Elijah Jackson is 1912526336. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Elijah Jackson located?

Elijah Jackson practices at 4455 NE Highway 20, Corvallis, OR 97330. The listed phone number is (541) 757-1852.

What is Elijah 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 Elijah Jackson was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.