KELLY JACKSON NPI 1275424863

NPI Information

  • NPI: 1275424863
  • Provider Name: KELLY JACKSON
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 2100 24TH AVE S STE 260
    SEATTLE, WA
    ZIP 98144
  • Phone: (206) 825-4817

Map and Directions

Get Directions

NPI Details

Kelly Jackson is a counselor in Seattle, WA. The provider is 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. Kelly Jackson NPI is 1275424863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 24TH AVE S STE 260
SEATTLE, WA
ZIP 98144-644
Phone: (206) 825-4817

The enumeration date for this NPI number is 7/11/2025 and was last updated on 7/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.