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STACI NICOLE JACKSON
NPI 1003329160
Counselor - Mental Health in Baton Rouge, LA

Active since November 13, 2017
11616 SOUTHFORK AVE, BATON ROUGE, LA 70816(225) 291-9646 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Staci Nicole Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI NICOLE JACKSON (NPI 1003329160) is an individual mental health provider in Baton Rouge, Louisiana and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1003329160
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACI NICOLE JACKSON
Location Address11616 SOUTHFORK AVEBaton Rouge, LA 70816-5241
Mailing Address11616 Southfork AveBaton Rouge, LA 70816-5241 · (225) 291-9646
Phone(225) 291-9646
Sole ProprietorYes
Enumeration DateNovember 13, 2017
✔ NPI 1003329160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11616 SOUTHFORK AVE, Baton Rouge, LA 70816
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AISLIN FOSTER
Counselor
11616 SOUTHFORK AVE, SUITE 401
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 291-9646
LADRIKA CAREY
Counselor (Mental Health)
11616 SOUTHFORK AVE, 403
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 291-9646
DEVONA D SANDIFER
Case Manager/Care Coordinator
11616 SOUTHFORK AVE
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 291-9646
ELIZABETH FIELDS PLPC
Counselor (Mental Health)
11616 SOUTHFORK AVE
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 291-9646
FRANCES COOK
Counselor (Mental Health)
11616 SOUTHFORK AVE, SUITE 401
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 291-9646
IBL SPECIAL CARE MANAGEMENT SERVICES
Exclusive Provider Organization
11616 SOUTHFORK AVE, STE 204
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 291-3123
MARGARET PROVOST CSW
Case Manager/Care Coordinator
11616 SOUTHFORK AVE, SUITE 203
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 291-9718
JOSALYN ROBINSON
Case Manager/Care Coordinator
11616 SOUTHFORK AVE, STE 401
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 291-9646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Jackson's NPI number?

The NPI number for Staci Jackson is 1003329160. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Staci Jackson located?

Staci Jackson practices at 11616 Southfork Ave, Baton Rouge, LA 70816. The listed phone number is (225) 291-9646.

What is Staci Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Staci Jackson was last updated on November 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.