Mr. Jerry Michael Jackson
MSW, ACSW | Mental Health Counselor
11016 Ne 2nd Pl, Bellevue
Washington, 98004-5830
425-455-0348 206-367-0547
Maps & DirectionsMr. Jerry Michael Jackson is a Bellevue, Washington based counselor who is specialized as Mental Health Counselor. Active license number of Mr. Jerry Michael Jackson is LW00004286 for Mental Health Counselor in Washington. His current practice location is 11016 Ne 2nd Pl, Bellevue. Patients can book an appointment with him at 425-455-0348.
Mr. Jerry Michael Jackson is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mr. Jerry Michael Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Jerry Michael Jackson |
| Specialization: | Mental Health Counselor |
| Gender: | Male |
| Credentials: | MSW, ACSW |
| Accepts Medicare Assignment: | No |
| Practice Address: | 11016 Ne 2nd Pl, Bellevue,
Washington, 98004-5830 |
| Phone: | 425-455-0348 |
| Fax: | 206-367-0547 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1699887166 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jerry Michael Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| LW00004286 | Mental Health Counselor | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jerry Michael Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| LW00004286 | Other | Washington | LICENSED SOCIAL WORKER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3723 Ne 150th St,
Lake Forest Park, Washington |
| Zip: | 98155-7828 |
| Phone Number: | 206-367-3351 |
| Fax Number: | 206-367-0547 |
Patients can reach Mr. Jerry Michael Jackson at
11016 Ne 2nd Pl, Bellevue, Washington or can
call to book an appointment on 425-455-0348.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.