Mishelle Jackson, SUDPT
NPI 1053192377 · Addiction (Substance Use Disorder) Counselor · Taholah, WA
Mishelle Jackson, SUDPT is a Addiction (Substance Use Disorder) Counselor provider in Taholah, WA (NPI 1053192377).
Provider details
- NPI number
- 1053192377
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDPT
- Sex
- Female
- Sole proprietor
- No
- License
- CO-61267571 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-12
- Last updated
- 2023-10-12
- Certified
- 2023-10-10
Frequently asked questions
- What is Mishelle Jackson's NPI number?
- Mishelle Jackson's National Provider Identifier (NPI) is 1053192377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mishelle Jackson's specialty?
- Mishelle Jackson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Mishelle Jackson located?
- Mishelle Jackson's practice location on file with NPPES is 1505 Kla-Ook-Wa Dr, Taholah, WA 98587.
- What is Mishelle Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mishelle Jackson is (360) 276-8215.
- Is Mishelle Jackson's NPI active?
- Yes — Mishelle Jackson's NPI (1053192377) is active in the NPPES registry as of the last update on 2023-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.