TAKELIA JACKSON
NPI 1114528957
Counselor - Professional in Smyrna, GA

Q: What is Takelia Jackson's NPI number?

The NPI number for Takelia Jackson is 1114528957. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Q: What is Takelia Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Takelia Jackson was last updated on August 13, 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.

Active since November 06, 2020

2875 SPRING VILLA LN SE, SMYRNA, GA 30080(678) 592-1680 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2021, Nov 6, 2020 (2 updates tracked since 2020).

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About Takelia Jackson NPPES

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

TAKELIA JACKSON (NPI 1114528957) is an individual professional provider in Smyrna, Georgia, licensed in Georgia (LPC011682) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1114528957

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTAKELIA JACKSON

Location Address2875 SPRING VILLA LN SESmyrna, GA 30080-3644

Mailing Address2875 Spring Villa Ln SeSmyrna, GA 30080-3644 · (678) 592-1680

Phone(678) 592-1680

Sole ProprietorYes

Enumeration DateNovember 6, 2020

Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration

NPPES CertifiedAugust 13, 2021

✔ NPI 1114528957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC011682

2875 SPRING VILLA LN SE, Smyrna, GA 30080

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Other Providers at the Same Location NPPES

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

KINGDOM COUNSELING AND CONSULTATION LLC

Community/Behavioral Health

2875 SPRING VILLA LN SE
SMYRNA, GA 30080

Cobb County (678) 592-1680

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 Takelia Jackson's NPI number?

The NPI number for Takelia Jackson is 1114528957. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Takelia Jackson located?

Takelia Jackson practices at 2875 Spring Villa Ln SE, Smyrna, GA 30080. The listed phone number is (678) 592-1680.

What is Takelia Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Takelia Jackson was last updated on August 13, 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.