Melissa Jackson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH60855674 Issued in WA

Practice address

3000 Rockefeller Ave # Ms 305
Everett, WA 98201-4071

Phone

(425) 212-4200

NPI assigned

Jun 3, 2014

Last updated

Jan 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lightheart Associates PSGroup PAC ID 2163889981, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lightheart Associates PS

  • Psychologist
  • Redmond, WA
  • NPI 1609221720

  Professional

  Medicare reassignment Care Compare group NPD
• Dr. Kathleen Worsley

  • Counseling Psychologist
  • Redmond, WA
  • NPI 1619484821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1841603388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ROCKEFELLER AVE # MS 305",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ROCKEFELLER AVE # MS 305",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014071",
            "telephone_number": "425-212-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60855674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jafari Jackson, PT
• Kathi Lu Jackson, PHD
• Kelly Colleen Jackson, CDPT
• L'Erin Sarah Jackson
• McAlister Jackson, RN
• Russell Bernard Jackson Jr., MSW, CLINICIAN 2
• Sarah L Jackson, LICSW
• Tionna Marie Jackson
• Whitney Gwendolyn Jackson, MA, LMHC, DCR
• William Chance Jackson

• Professional Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.