JACKIE SIMMONS MSP, CIT3407
NPI 1043683444
Counselor - Addiction (Substance Use Disorder) in Baton Rouge, LA

Q: What is Jackie Simmons's NPI number?

The NPI number for Jackie Simmons is 1043683444. It was assigned to this individual provider in the NPPES registry on November 6, 2015.

Q: What is Jackie Simmons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Simmons was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 06, 2015

2274 WOODDALE BLVD, BATON ROUGE, LA 70806(225) 928-1088 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackie Simmons Msp, Cit3407 NPPES

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

JACKIE SIMMONS MSP, CIT3407 (NPI 1043683444) is an individual addiction (substance use disorder) provider in Baton Rouge, Louisiana, licensed in Louisiana (CIT3407) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1043683444

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJACKIE SIMMONSCredential: MSP, CIT3407

Location Address2274 WOODDALE BLVDBaton Rouge, LA 70806-1444

Mailing Address2274 Wooddale BlvdBaton Rouge, LA 70806-1444 · (225) 928-1088

Phone(225) 928-1088

Sole ProprietorNo

Enumeration DateNovember 6, 2015

✔ NPI 1043683444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in LA · CIT3407

2274 WOODDALE BLVD, Baton Rouge, LA 70806

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Other Providers at the Same Location NPPES 4

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

GENITA DAWSON

Counselor

2274 WOODDALE BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 928-1088

BETHLEHEM BAPTIST CHURCH OFBR

Community/Behavioral Health

2274 WOODDALE BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 928-1088

MS. PATRICE BUTLER

Counselor (Addiction (Substance Use Disorder))

2274 WOODDALE BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 928-1088

CAROL ANDERSON

Case Manager/Care Coordinator

2274 WOODDALE BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 928-1088

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 Jackie Simmons's NPI number?

The NPI number for Jackie Simmons is 1043683444. It was assigned to this individual provider in the NPPES registry on November 6, 2015.

Where is Jackie Simmons located?

Jackie Simmons practices at 2274 Wooddale Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 928-1088.

What is Jackie Simmons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jackie Simmons was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.