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

Lisa Marie Jackson

Individual provider Mental Health Counselor · NPI 1497436349

Lisa Marie Jackson is a Mental Health Counselor in Federal Way, Washington. Qualified in 2023, 3 years ago. Practices with Kaskel Psychological Associates, a 43-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

33455 6th Ave S # 2C
Federal Way, WA 98003-6074
Phone: (253) 210-4230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X · Licence MHCA.MC.61464859 (WA)

Record details

NPI number1497436349
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2023
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address11723 Se 157th St, Renton, WA 98058-4636

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kaskel Psychological Associates — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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