Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275048167 Individual Practitioner Male Practitioner

Brian M. Jackson , LPC

Counselor - Professional • Coburg, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Jackson, LPC is a certified Counselor - Professional practicing in Coburg, OR. With approximately 18 years of clinical experience since completing medical education in 2008, Brian Jackson delivers high-quality medical care to the local community at 91150 COBURG INDUSTRIAL WAY SERENITY LANE.

Brian Jackson is affiliated with Griffin And Associated Practitioners and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

91150 Coburg Industrial Way Serenity Lane

Coburg, OR 97408

Telephone 5416871110
Associated Practice Facility / Clinic
🏢 Serenity Lane Facility NPI 1619429396

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Coburg, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs Matches City Avg
City Avg: 18.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Coburg, OR (2601 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

Clinical Seniority & Experience Comparison

Dr. Jackson (18 Years) 18 Yrs
Coburg Specialty Average (18.0 Years) 18.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C5715

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC-13803

Definition to come...

Hospital & Practice Group Affiliations

Griffin And Associated Practitioners

66 Club Rd, Eugene, OR 974012599

Phone: 5413431728

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicholas Simrin , PSS, CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1033845664
Jeffrey Wright

Counselor - Addiction (Substance Use Disorder)

NPI 1043970585
Jenae Hulsey Hulsey

Counselor - Addiction (Substance Use Disorder)

NPI 1063132421
Sarah Buck , QMHA-R

Counselor - Mental Health

NPI 1093525545

QMHAR

Stephanie Crowell , CADC1

Counselor - Addiction (Substance Use Disorder)

NPI 1104774157
Christopher Bowling

Counselor - Addiction (Substance Use Disorder)

NPI 1114632569

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 08, 2021

Registered at 91150 COBURG INDUSTRIAL WAY SERENITY LANE, COBURG, OR 97408 (Tel: 5416871110)

📍
Updated Business Mailing Address April 08, 2021

Registered at P.O. BOX 8549 SERENITY LANE, 91150 COBURG INDUSTRIAL WAY, COBURG, OR 97408 (Tel: 5416871110)

👤
Provider Name / Credentials Updated April 08, 2021

Recorded as BRIAN JACKSON, L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2021

Counselor (License #C5715 in OR)

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2017

Registered at 2320 W PEORIA AVE STE A101, PHOENIX, AZ 850294721 (Tel: 4808692618)

📍
Updated Business Mailing Address December 13, 2017

Registered at PO BOX 435, WITTMANN, AZ 853610435 (Tel: 4805897898)

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as BRIAN JACKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Counselor (License #LPC-13803 in AZ)

🟢
Initial NPI Registration & Enumeration December 13, 2017

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: 1275048167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2017
Last Update: April 08, 2021
Sole Proprietor: No

Mailing Address

P.o. Box 8549 Serenity Lane, 91150 Coburg Industrial Way

Coburg, OR 97408

Phone: 5416871110

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.