SERENA LEIGH JACKSON NPI 1871295816

NPI Information

  • NPI: 1871295816
  • Provider Name: SERENA LEIGH JACKSON
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 4455 NE HIGHWAY 20
    CORVALLIS, OR
    ZIP 97330
  • Phone: (541) 758-5900

Map and Directions

Get Directions

NPI Details

Serena Leigh Jackson is a professional counselor in Corvallis, OR. Serena Leigh Jackson NPI is 1871295816. 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:

4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330-695
Phone: (541) 758-5900

The enumeration date for this NPI number is 3/21/2023 and was last updated on 12/29/2025.

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
1101YP2500XCounselorProfessionalC11072OREGONYes
2221700000XArt TherapistNo

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.