Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871295816 Individual Practitioner Female Practitioner

Serena Leigh Jackson

Counselor - Professional • Corvallis, OR

Professional Overview & Biography Verified Profile Summary

Serena Jackson is a certified Counselor - Professional practicing in Corvallis, OR. With approximately 4 years of clinical experience since completing medical education in 2022, Serena Jackson delivers high-quality medical care to the local community at 4455 NE HIGHWAY 20.

Serena Jackson does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4455 Ne Highway 20

Corvallis, OR 973309695

Telephone 5417585900
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Corvallis, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Corvallis, OR (2601 Statewide)

Telehealth Adoption Rate
1.4% 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 (4 Years) 4 Yrs
Corvallis Specialty Average (10.2 Years) 10.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C11072

Definition to come...

Art Therapist

NUCC Taxonomy Code: 221700000X

(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Casey Roach , MA

Counselor - Mental Health

NPI 1003137894

Master of Arts

Elisa Gooding

Social Worker

NPI 1003166489
NPI 1003187659
NPI 1003188731
NPI 1003424193
Olivia Kimmel

Counselor

NPI 1003539560

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2025

Counselor (License #C11072 in OR)

NPI Profile Active March 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2023

Registered at 4455 NE HIGHWAY 20, CORVALLIS, OR 973309695 (Tel: 5417585900)

📍
Updated Business Mailing Address March 21, 2023

Registered at 3415 SE POWELL BLVD, PORTLAND, OR 972023371 (Tel: 9591503234)

👤
Provider Name / Credentials Updated March 21, 2023

Recorded as SERENA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2023

Art Therapist

🟢
Initial NPI Registration & Enumeration March 21, 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: 1871295816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2023
Last Update: December 29, 2025
Sole Proprietor: No

Mailing Address

3415 Se Powell Blvd

Portland, OR 972023371

Phone: 9591503234

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.