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JACQUELYN JACKSON
NPI 1114451721
Counselor in Baton Rouge, LA

Active since April 20, 2017
3040 TEDDY DRIVE, BATON ROUGE, LA 70809(225) 218-4444 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 30, 2021, Jun 23, 2021, Jun 19, 2021 and 1 more (4 updates tracked since 2017).

About Jacquelyn Jackson NPPES

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

JACQUELYN JACKSON (NPI 1114451721) is an individual counselor in Baton Rouge, Louisiana and active in the NPI registry since April 2017. She maintains a secondary practice location in Mccomb.

NPPES Registry Identity

NPI1114451721
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACQUELYN JACKSON
Location Address3040 TEDDY DRIVEBaton Rouge, LA 70809
Mailing Address3040 Teddy DriveBaton Rouge, LA 70809 · (225) 218-4444
Phone(225) 218-4444
Sole ProprietorNo
Enumeration DateApril 20, 2017
Last NPPES UpdateJune 30, 20214 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1114451721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3040 TEDDY DRIVE, Baton Rouge, LA 70809
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Secondary Practice Location 1

Location 11701 White StMcComb, MS 39648-2711 · Phone (601) 249-4217 · Fax (601) 249-4234

Other Providers at the Same Location NPPES

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

ANELCIA RAYFORD
Counselor (Mental Health)
3040 TEDDY DRIVE
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 218-4444

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 Jacquelyn Jackson's NPI number?

The NPI number for Jacquelyn Jackson is 1114451721. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Jacquelyn Jackson located?

Jacquelyn Jackson practices at 3040 Teddy Drive, Baton Rouge, LA 70809. The listed phone number is (225) 218-4444.

What is Jacquelyn Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Jackson was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.