TONYA SUE JACKSON PH.D.
NPI 1255657243
Psychologist - Intellectual and Developmental Disabilities in Alexandria, LA

Active since April 15, 2010PECOS Enrolled
5411 COLISEUM BLVD, ALEXANDRIA, LA 71303(318) 484-2347 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tonya Sue Jackson Ph.d. NPPES

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

TONYA SUE JACKSON PH.D. (NPI 1255657243) is an individual intellectual and developmental disabilities provider in Alexandria, Louisiana, licensed in Louisiana (1072) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255657243
Entity TypeIndividualFemale
Primary Taxonomy103TM1800X
Provider Legal NameTONYA SUE JACKSONCredential: PH.D.
Location Address5411 COLISEUM BLVDAlexandria, LA 71303-3729
Mailing Address3770 Monroe Highway Ste C, Pmb 170Pineville, LA 71360-4170 · (318) 880-3044
Sole ProprietorNo
Enumeration DateApril 15, 2010
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1255657243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
License Licensed in LA · 1072
5411 COLISEUM BLVD, Alexandria, LA 71303

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tonya Sue Jackson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
5411 COLISEUM BLVD
ALEXANDRIA, LA 71303
Social Worker
5411 COLISEUM BLVD
ALEXANDRIA, LA 71303
Social Worker (Clinical)
5411 COLISEUM BLVD
ALEXANDRIA, LA 71303
Social Worker
5411 COLISEUM BLVD
ALEXANDRIA, LA 71303
Social Worker (Clinical)
5411 COLISEUM BLVD
ALEXANDRIA, LA 71303
Social Worker (Clinical)
5411 COLISEUM BLVD
ALEXANDRIA, LA 71303
Social Worker (Clinical)
5411 COLISEUM BLVD
ALEXANDRIA, LA 71303
Social Worker (Clinical)
5411 COLISEUM BLVD
ALEXANDRIA, LA 71303

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 Tonya Jackson's NPI number?

The NPI number for Tonya Jackson is 1255657243. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Where is Tonya Jackson located?

Tonya Jackson practices at 5411 Coliseum Blvd, Alexandria, LA 71303. The listed phone number is (318) 484-2347.

What is Tonya Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Is Tonya Jackson enrolled in Medicare?

Yes. Tonya Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Tonya Jackson accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Tonya Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tonya Jackson was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.