NPPES file of Aug 9, 2026

Serena Leigh Jackson

Professional Counselor · Corvallis, OR

Serena Leigh Jackson is a professional counselor with a practice address in Corvallis, Oregon, and NPI 1871295816, issued on Mar 21, 2023. Check the license (Oregon C11072, as entered in NPPES) with the Oregon board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1871295816
Name
Serena Leigh Jackson
Primary taxonomy
Professional Counselor 101YP2500X
License number
C11072 OR
Self-reported in NPPES; status is on the state search
Practice location
4455 NE Highway 20, Corvallis, OR 97330
Phone
(541) 758-5900
Enumerated
Mar 21, 2023
Record last updated
Dec 29, 2025
Medicare enrollment
Enrolled (PECOS I20260422002369); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4455 NE Highway 20

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nicholas AbbottCounselor1164772737
  2. Cheyenne AbramCounselor1700365251
  3. Carrie AbramsChild & Adolescent Psychiatric/Mental Health Registered Nurse1518336429
  4. Charity Acacio, RNRegistered Nurse1538403522
  5. Jasmine AckridgeCounselor1619554003
  6. Nicole Acosta, RNChild & Adolescent Psychiatric/Mental Health Registered Nurse1932682952

Verify Serena Leigh Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oregon board licenses this profession
    Search for license C11072
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oregon license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Serena Leigh Jackson among 2,558 professional counselor records in Oregon

Serena Leigh Jackson is one of 2,558 professional counselor records with a practice address in Oregon. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2023, is newer than 90% of them.

  • NPI issued2023 · 90% of these records are older, 6% newer
  • In a Medicare fileNo · 13% of these records are
  • In the CMS Doctors and Clinicians fileYes · 21% of these records are
  • Graduated2022 · median 2014 among the 542 with a school on file
  • Record last updated2025 · 41% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

72 professional counselor records list a practice address in Corvallis

They are 72 of the 4,096 NPPES records with a practice address in Corvallis, and 2,558 professional counselor records in Oregon. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 professional counselor records with the nearest ZIP codes

  1. Micki Bachand, LPCCorvallis, OR 973301376875740
  2. Michelle Deeg-DavisCorvallis, OR 973301427476621
  3. Krystal FillmoreCorvallis, OR 973301073810321
  4. Susan Goodman, M.S., L.P.C., N.C.C.Corvallis, OR 973301285814947
  5. Chiharu Malone, LPCCorvallis, OR 973301174725154
  6. Hannelore Ondrusek, M.S., LPCCorvallis, OR 973301003019605
  7. Andrew Pape, LPCCorvallis, OR 973301043412208
  8. Andrea PiercyCorvallis, OR 973301962815225

Common questions

What is Serena Leigh Jackson's NPI number?

Serena Leigh Jackson's National Provider Identifier (NPI) is 1871295816, issued on Mar 21, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Serena Leigh Jackson located?

The NPPES record lists a practice address at 4455 NE Highway 20, Corvallis, OR, 97330. Phone: (541) 758-5900. Providers update this record themselves, so call before visiting.

How can I verify Serena Leigh Jackson's license?

NPPES lists Oregon license number C11072, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.