Mr. Brian M. Jackson, LPC
Mr. Brian M. Jackson, LPC is a Mental Health Counselor in Coburg, Oregon. Qualified in 2008, 18 years ago. Practices with Griffin and Associated Practitioners, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona and Oregon.
- Years since qualifying
- 18
- Licensed in
- AZ, OR
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
91150 Coburg Industrial Way Serenity LnCoburg, OR 97408
Phone: (541) 687-1110
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence C5715 (OR) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence LPC-13803 (AZ) |
Record details
| NPI number | 1275048167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC |
| Sole proprietor | No |
| NPI enumerated | December 13, 2017 |
| Last updated in NPPES | April 8, 2021 |
| Certification date | April 8, 2021 |
| Mailing address | P.O. Box 8549 Serenity Lane, 91150 Coburg Industrial Way, Coburg, OR 97408 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Griffin And Associated Practitioners — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |