Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1053603621 Deactivated / Inactive NPI Male Practitioner

Michael Jackson

Counselor • Bethel, AK

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 13, 2011
NPI Deactivation Date March 01, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Michael Jackson was a registered Counselor practicing in Bethel, AK. Throughout an active medical career spanning 12 years, Michael Jackson provided care at the practice location at 829 CHIEF EDDIE HOFFMAN HWY until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

829 Chief Eddie Hoffman Hwy

Bethel, AK 99559

Telephone 9075436107
Fax 9075436159
Associated Practice Facility / Clinic
🏢 Yukon Kuskokwim Health Corp Facility NPI 1720202187

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bethel, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
444 Specialists

Practicing in Bethel, AK (1191 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nikki Hoffman , RN

Registered Nurse - Case Management

NPI 1003253683

Registered Nurse

Holly Chaney

Counselor

NPI 1003419375
Pamela Chaliak

Case Manager/Care Coordinator

NPI 1013391382
Ida Charlie

Community Health Worker

NPI 1023222783
Veronica Babich

Community Health Worker

NPI 1023536828
Deepti Ardito

Counselor

NPI 1043882574

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active May 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2011

Registered at 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559 (Tel: 9075436107)

📍
Updated Business Mailing Address May 13, 2011

Registered at PO BOX 528, BETHEL, AK 995590528 (Tel: 9075436107)

👤
Provider Name / Credentials Updated May 13, 2011

Recorded as MICHAEL JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2011

Counselor

🟢
Initial NPI Registration & Enumeration May 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Jackson. Be the first to share your experience!

Sign in to leave a review for Michael Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053603621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2011
Last Update: May 13, 2011
Deactivation Date: March 01, 2023

Mailing Address

Po Box 528

Bethel, AK 995590528

Phone: 9075436107

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.