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

Mr. Brandon Scott Backus Jackson

Individual provider Counselor · NPI 1164952644

Mr. Brandon Scott Backus Jackson is a Counselor in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
Specialties on file
4

Practice location Address checks out

515 3rd Ave
Seattle, WA 98104-2304
Phone: (206) 464-1570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (WA)
Counselor Taxonomy 101Y00000X · Licence CG61445547 (WA)
Counselor Taxonomy 101Y00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1164952644
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2017
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address515 3rd Ave, Seattle, WA 98104-2304

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