What is Brent Jackson's NPI number?

Brent Jackson's National Provider Identifier (NPI) is 1063790921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Brent Jackson's specialty?

Brent Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Brent Jackson located?

Brent Jackson's practice location on file with NPPES is 5965 S 900 E, Salt Lake City, UT 84121-1720.

What is Brent Jackson's phone number?

The practice phone number listed in the NPPES registry for Brent Jackson is (801) 263-7100.

Is Brent Jackson's NPI active?

Yes — Brent Jackson's NPI (1063790921) is active in the NPPES registry as of the last update on 2011-07-26.

IndividualActive

Brent Jackson

NPI 1063790921 · Counselor · Salt Lake City, UT

Brent Jackson is a Counselor provider in Salt Lake City, UT (NPI 1063790921).

Provider details

NPI number: 1063790921
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
83% 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

5965 S 900 E

Salt Lake City, UT 84121-1720

Phone: (801) 263-7100

Street-level locationGet directions

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Mailing address