Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255040937 Individual Practitioner Female Practitioner

Kathleen Ann Jackson

Peer Specialist • Klamath Falls, OR

Professional Overview & Biography Verified Profile Summary

Kathleen Jackson is a registered healthcare professional specializing in Peer Specialist in Klamath Falls, OR. Practice services are available at 3206 ONYX AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3206 Onyx Ave

Klamath Falls, OR 976037279

Telephone 5413631277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Klamath Falls, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
163 Specialists

Practicing in Klamath Falls, OR (3408 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

CMS Verified: 2022-11-21
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oha
THW000106149 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Paul Monteith , PWS

Peer Specialist

NPI 1851044119

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2022

Registered at 3206 ONYX AVE, KLAMATH FALLS, OR 976037279 (Tel: 5413631277)

📍
Updated Business Mailing Address November 21, 2022

Registered at 3206 ONYX AVE, KLAMATH FALLS, OR 976037279 (Tel: 5413631277)

👤
Provider Name / Credentials Updated November 21, 2022

Recorded as KATHLEEN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 21, 2022

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: 1255040937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2022
Last Update: November 21, 2022
Sole Proprietor: No

Mailing Address

3206 Onyx Ave

Klamath Falls, OR 976037279

Phone: 5413631277

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.