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Active NPI 1659622975 Individual Practitioner Female Practitioner

Alicia Jackson , MA, CMHS

Counselor • Longview, WA

Professional Overview & Biography Verified Profile Summary

Alicia Jackson, MA, CMHS is a registered healthcare professional specializing in Counselor in Longview, WA. Practice services are available at 720 14TH AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

720 14th Ave.

Longview, WA 98632

Telephone 3604230203
Fax 3604235086
Associated Practice Facility / Clinic
🏢 Columbia Wellness Facility NPI 1487659579

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
321 Specialists

Practicing in Longview, WA (11556 Statewide)

Telehealth Adoption Rate
0.6% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA 60926696

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2097719 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003328261
NPI 1013150119

Master of Arts

NPI 1013415439
Evalyn Evangelista , RN

Registered Nurse

NPI 1013472984

Registered Nurse

Melissa Jarvis

Counselor - Mental Health

NPI 1013565357
Heather Gaines

Counselor - Mental Health

NPI 1023446325

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 06, 2019

Registered at 720 14TH AVE., LONGVIEW, WA 98632 (Tel: 3604230203)

📍
Updated Business Mailing Address March 06, 2019

Registered at 921 14TH AVENUE, LONGVIEW, WA 98632 (Tel: 3604230203)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2019

Counselor (License #60926696 in WA)

NPI Profile Active September 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2012

Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)

📍
Updated Business Mailing Address September 26, 2012

Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)

👤
Provider Name / Credentials Updated September 26, 2012

Recorded as ALICIA JACKSON, M.A., C.M.H.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2012

Counselor (License #CG60148839 in WA)

🟢
Initial NPI Registration & Enumeration September 26, 2012

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: 1659622975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2012
Last Update: March 06, 2019
Sole Proprietor: No

Mailing Address

921 14th Avenue

Longview, WA 98632

Phone: 3604230203

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.