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

Mr. Corey Jai Jackson, MA

Individual provider Professional Counselor · NPI 1194866707

Mr. Corey Jai Jackson, MA is a Mental Health Counselor in Eugene, Oregon. Qualified in 2004, 22 years ago. Practices with Christians as Family Advocates, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
22
Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

921 Country Club Rd Ste 222
Eugene, OR 97401-2238
Phone: (541) 686-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Professional Counselor Taxonomy 101YP2500X · Licence C4737 (OR)

Record details

NPI number1194866707
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Christians As Family Advocates — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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