Brian M. Jackson, L.P.C.
NPI 1275048167ActiveIndividual· Counselor, Professional· Coburg, OR
Counselor, Professional (L.P.C.) with Griffin and Associated Practitioners, practicing in Coburg, Oregon. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1275048167 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.P.C. |
| Sole proprietor | No |
| NPI issued | Dec 13, 2017 |
| Last updated in NPPES | Apr 8, 2021 |
| Certified by provider | Apr 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | C5715 | OR |
| Counselor, Professional | 101YP2500X | LPC-13803 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OR) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Griffin and Associated PractitionersEugene, OR · 13 clinicians