Active NPI
Brittany Kassandra Jackson, MA PPS APCC LMHCA
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1245065606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9208 NE Highway 99 # 107-45
Vancouver, WA 98665-8986 - Phone
- (503) 567-8411
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61647117 | WA | |
| Mental Health Counselor | 101YM0800X | 17732 | CA | |
| School Counselor | 101YS0200X | 240164012 | CA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9208 NE Highway 99 # 107-45
Vancouver, WA 98665-8986
Mailing address
9208 NE Highway 99 # 107-45
Vancouver, WA 98665-8986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17732 | CA | MD | Mental Health Counselor |
| MC61647117 | WA | MD | Mental Health Counselor |
| 240164012 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1245065606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9208 NE HIGHWAY 99 # 107-45",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986658986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9208 NE HIGHWAY 99 # 107-45",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986658986",
"telephone_number": "503-567-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "BRITTANY",
"middle_name": "KASSANDRA",
"credential": "MA PPS APCC LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61647117",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "17732",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "240164012",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.