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Brandon Scott Backus Jackson

Peer Specialist β€’ Seattle, WA

Active NPI 1164952644 Individual Practitioner Male Practitioner
Practice location in NPPES

515 3rd Ave
Seattle, WA 981042304

Call 2064641570 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

515 3rd Ave

Seattle, WA 981042304

Telephone 2064641570
Organization at the Same NPPES Address or Phone
Downtown Emergency Service Center Facility NPI 1447375332

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Seattle and Washington

301 active clinicians are listed under Peer Specialist with a practice address in Seattle, WA (2,632 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

0% of these 301 clinicians have the CMS telehealth indicator.

0% of these 301 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG61445547

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Rebecca Chen , MD

Family Medicine

NPI 1083318216

Doctor of Medicine (M.D.)

Dr. Jacqueline Chipkin , MD

Psychiatry & Neurology - Psychiatry

NPI 1144856071

Doctor of Medicine (M.D.)

Dr. Sarah Philp , MD

Family Medicine - Addiction Medicine

NPI 1952394702

Doctor of Medicine (M.D.)

Esme Roddy

Nurse Practitioner - Psychiatric/Mental Health

NPI 1710552450

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location November 17, 2025

Registered at 515 3RD AVE, SEATTLE, WA 981042304 (Tel: 2064641570)

πŸ“
Updated Business Mailing Address November 17, 2025

Registered at 515 3RD AVE, SEATTLE, WA 981042304 (Tel: 2064641570)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2025

Counselor (license number reported to NPPES: WA CG61445547)

πŸ“
Updated Practice Location April 08, 2025

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸ“
Updated Business Mailing Address April 08, 2025

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸ“
Updated Practice Location June 21, 2023

Registered at 5455 ALMIRA DR NE, BREMERTON, WA 983118330 (Tel: 3603735031)

πŸ“
Updated Business Mailing Address June 21, 2023

Registered at 5455 ALMIRA DR NE, BREMERTON, WA 983118330 (Tel: 3603735031)

πŸ‘€
Provider Name / Credentials Updated June 21, 2023

Recorded as BRANDON BACKUS JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2023

Counselor

βœ…
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 15, 2017

Registered at 1200 W SOUTH BOULDER RD STE 204, LAFAYETTE, CO 800262833 (Tel: 7208372348)

πŸ“
Business Mailing Address (Initial Record) June 15, 2017

Registered at PO BOX 271690, LOUISVILLE, CO 800275035 (Tel: 7208372348)

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2017

Recorded as BRANDON JACKSON, BT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Behavior Technician

🟒
Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164952644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: November 17, 2025
Sole Proprietor: No

Mailing Address

515 3rd Ave

Seattle, WA 981042304

Phone: 2064641570

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.