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

Jerrold Jackson

Individual provider Counselor · NPI 1598021081

Jerrold Jackson is a Mental Health Counselor in Tukwila, Washington. Qualified in 2014, 12 years ago. Practices with Renton Counseling Center PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

10216 Beacon Ave S
Tukwila, WA 98178-2039
Phone: (425) 761-9469
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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 LH61262872 (WA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1598021081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address10216 Beacon Ave S, Tukwila, WA 98178-2039

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 Renton Counseling Center Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tukwila