DESTINY JACKSON M.A., PLPC, PLMFT
NPI 1184171100
Counselor - Mental Health in Shreveport, LA

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment
3341 YOUREE DR, 101, SHREVEPORT, LA 71105(318) 219-4171 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Jackson M.a., Plpc, Plmft NPPES

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

DESTINY JACKSON M.A., PLPC, PLMFT (NPI 1184171100) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184171100
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESTINY JACKSONCredential: M.A., PLPC, PLMFT
Location Address3341 YOUREE DR, 101Shreveport, LA 71105-2149
Mailing Address6129 Wincanton DrShreveport, LA 71129-3908
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 7, 2016
NPI 1184171100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3341 YOUREE DR, Shreveport, LA 71105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Destiny Jackson M.a., Plpc, Plmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901398445
PECOS Enrollment IDI20251122000481
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Counselor
3341 YOUREE DR
SHREVEPORT, LA 71105
Clinic/Center (Mental Health (Including Community Mental Health Center))
3341 YOUREE DR, SUITE 102
SHREVEPORT, LA 71105
Counselor (Mental Health)
3341 YOUREE DR
SHREVEPORT, LA 71105
Behavior Analyst
3341 YOUREE DR
SHREVEPORT, LA 71105
Peer Specialist
3341 YOUREE DR
SHREVEPORT, LA 71105

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 Destiny Jackson's NPI number?

The NPI number for Destiny Jackson is 1184171100. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Destiny Jackson located?

Destiny Jackson practices at 3341 Youree Dr 101, Shreveport, LA 71105. The listed phone number is (318) 219-4171.

What is Destiny Jackson's specialty?

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

Is Destiny Jackson enrolled in Medicare?

Yes. Destiny Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Destiny Jackson was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.