Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackson Wilshire, MA, LPC-INT

Individual provider Mental Health Counselor · NPI 1609273168

Jackson Wilshire, MA, LPC-INT is a Mental Health Counselor in Longview, Washington. Qualified in 2014, 12 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1230 7th Ave
Longview, WA 98632-3166
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH60925398 (WA)

Record details

NPI number1609273168
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC-INT
Sole proprietorNo
NPI enumeratedNovember 28, 2014
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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