KEYANA DESHAWN JACKSON LPC, NBCC
NPI 1194196204
Counselor - Mental Health in Baton Rouge, LA

Active since October 14, 2015
4041 DAYTONA AVE, BATON ROUGE, LA 70814(225) 933-5091 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2019, Oct 30, 2018 (2 updates tracked since 2018).

About Keyana Deshawn Jackson Lpc, Nbcc NPPES

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

KEYANA DESHAWN JACKSON LPC, NBCC (NPI 1194196204) is an individual mental health provider in Baton Rouge, Louisiana, licensed in Louisiana (5941) and active in the NPI registry since October 2015. She maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1194196204
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKEYANA DESHAWN JACKSONCredential: LPC, NBCC
Location Address4041 DAYTONA AVEBaton Rouge, LA 70814
Mailing Address4041 Daytona AveBaton Rouge, LA 70814-7145 · (225) 933-5091
Sole ProprietorYes
Enumeration DateOctober 14, 2015
Last NPPES UpdateDecember 30, 20192 updates tracked since enumeration
NPI 1194196204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in LA · 5941
4041 DAYTONA AVE, Baton Rouge, LA 70814

Secondary Practice Location 1

Location 12320 Drusilla Ln Ste EBaton Rouge, LA 70809-1495 · Phone (225) 930-4530 · Fax (225) 930-4532

Other Identifiers 1

Other83-2271140LA · Private Insurers

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 Keyana Jackson's NPI number?

The NPI number for Keyana Jackson is 1194196204. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Where is Keyana Jackson located?

Keyana Jackson practices at 4041 Daytona Ave, Baton Rouge, LA 70814. The listed phone number is (225) 933-5091.

What is Keyana 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 Keyana Jackson was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.