Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063160950 Individual Practitioner Female Practitioner

Kaitlin Josephine Jackson

Counselor • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Kaitlin Jackson is a registered healthcare professional specializing in Counselor in Bellevue, WA. Practice services are available at 3805 108TH AVE NE STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3805 108th Ave Ne Ste 204

Bellevue, WA 980047613

Telephone 4252421713
Associated Practice Facility / Clinic
🏢 Ikron Greater Seattle Facility NPI 1215439799

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
263 Specialists

Practicing in Bellevue, WA (11556 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: 2022-03-10
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 1053027201
Thomas Towler , CDP, LADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1083262356

CDP, LADCII

Preety Taya

Counselor

NPI 1093381378
NPI 1104476571
NPI 1134809171
Annie Imoto

Social Worker - Clinical

NPI 1134829880

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2022

Registered at 3805 108TH AVE NE STE 204, BELLEVUE, WA 980047613 (Tel: 4252421713)

📍
Updated Business Mailing Address March 10, 2022

Registered at 3805 108TH AVE NE STE 204, BELLEVUE, WA 980047613

👤
Provider Name / Credentials Updated March 10, 2022

Recorded as KAITLIN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2022

Counselor

🟢
Initial NPI Registration & Enumeration March 10, 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: 1063160950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2022
Last Update: March 10, 2022
Sole Proprietor: Yes

Mailing Address

3805 108th Ave Ne Ste 204

Bellevue, WA 980047613

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.