Active NPI
Jackson Hussey
- Counselor
- Bridgeport, WV
National Provider Identifier
1609623420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 65 Professional PL Ste 102
Bridgeport, WV 26330-0259 - Phone
- (304) 848-5770
- NPI assigned
- Apr 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
65 Professional PL Ste 102
Bridgeport, WV 26330-0259
Mailing address
65 Professional PL Ste 102
Bridgeport, WV 26330-0259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- West Virginia University School of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
37 W Main St
Buckhannon, WV 26201-2235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1609623420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PROFESSIONAL PL STE 102",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263300259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PROFESSIONAL PL STE 102",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263300259",
"telephone_number": "304-848-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEY",
"first_name": "JACKSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-30",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.