Driftwood Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DRIFTWOOD COUNSELING LLC

Practice address

4987 Murphy Dome Rd
Fairbanks, AK 99709-5974

Phone

(907) 347-2972

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Cassie Thacker Jackson, M.ED., LPC, NCCNPI 1376261602

Title

Licensed Professional Counselor

Phone

(907) 888-2082

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassie Thacker Jackson, MASTER OF EDUCATION

  • Professional Counselor
  • Fairbanks, AK
  • NPI 1376261602
  NPD Authorized official

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767225600000",
    "number": "1992667372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4987 MURPHY DOME RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095974",
            "telephone_number": "907-888-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 MURPHY DOME RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095974",
            "telephone_number": "907-347-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTWOOD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "THACKER",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "907-888-2082",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.