Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104505213 Individual Practitioner Female Practitioner

Avery Bliss Jackson

Counselor • Allston, MA

Professional Overview & Biography Verified Profile Summary

Avery Jackson is a registered healthcare professional specializing in Counselor in Allston, MA. Practice services are available at 14 FORDHAM RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14 Fordham Rd

Allston, MA 021343000

Telephone 6177826460
Associated Practice Facility / Clinic
🏢 Arbour Counseling Services Facility NPI 1669596342

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Allston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.4 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
276 Specialists

Practicing in Allston, MA (9162 Statewide)

Telehealth Adoption Rate
2.5% 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

CMS Verified: 2023-07-15
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
NPI 1003027954

Licensed Independent Clinical Social Worker

Joseph Accardi

Counselor - Mental Health

NPI 1003119777
Karina Evora

Counselor

NPI 1003253980
Steven Walker

Counselor

NPI 1003255134
Emma Nance

Counselor

NPI 1003504119
Alissa Romanow

Counselor - Mental Health

NPI 1013227040

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2023

Registered at 14 FORDHAM RD, ALLSTON, MA 021343000 (Tel: 6177826460)

📍
Updated Business Mailing Address July 17, 2023

Registered at 311 LOWER FLYING POINT RD, FREEPORT, ME 040326384

👤
Provider Name / Credentials Updated July 17, 2023

Recorded as AVERY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Counselor

🟢
Initial NPI Registration & Enumeration July 17, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104505213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2023
Last Update: July 17, 2023
Sole Proprietor: No

Mailing Address

311 Lower Flying Point Rd

Freeport, ME 040326384

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.