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

Serena Leigh Jackson

Individual provider Professional Counselor · NPI 1871295816

Serena Leigh Jackson is a Mental Health Counselor in Corvallis, Oregon. Qualified in 2022, 4 years ago. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone: (541) 758-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C11072 (OR)
Art Therapist Taxonomy 221700000X

Record details

NPI number1871295816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address3415 Se Powell Blvd, Portland, OR 97202-3371

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Corvallis