Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cassie Thacker Jackson, MASTEROFEDUCATION

Individual provider Professional Counselor · NPI 1376261602

Cassie Thacker Jackson, MASTEROFEDUCATION is a Mental Health Counselor in Fairbanks, Alaska. Qualified in 2022, 4 years ago. Practices as a sole proprietor.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

4987 Murphy Dome Rd
Fairbanks, AK 99709-5974
Phone: (907) 888-2082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1376261602
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTEROFEDUCATION
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address4987 Murphy Dome Rd, Fairbanks, AK 99709-5974

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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