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CYNTHIA R JACKSON
NPI 1255734331
Counselor - Mental Health in Baton Rouge, LA

Active since October 02, 2014PECOS Enrolled
3173 WASHINGTON AVE, BATON ROUGE, LA 70802(225) 778-7678(225) 341-6825 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Feb 21, 2023, Dec 22, 2020 and 2 more (5 updates tracked since 2019).

About Cynthia R Jackson NPPES

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

CYNTHIA R JACKSON (NPI 1255734331) is an individual mental health provider in Baton Rouge, Louisiana and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255734331
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCYNTHIA R JACKSON
Location Address3173 WASHINGTON AVEBaton Rouge, LA 70802-2178
Mailing Address3173 Washington AveBaton Rouge, LA 70802-2178 · (225) 778-7678 · Fax (225) 341-6825
Phone(225) 778-7678
Fax(225) 341-6825
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 2, 2014
Last NPPES UpdateApril 9, 20255 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1255734331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3173 WASHINGTON AVE, Baton Rouge, LA 70802
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Other Identifiers 2

Other251B00000XTX · Plpc
Other101Y00000XLA · Plpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia R Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395087605
PECOS Enrollment IDI20250701001103
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 19

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

APRIL BILLINGTON
Case Manager/Care Coordinator
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
East Baton Rouge Parish (225) 778-7678
ITALY HAYES
Case Manager/Care Coordinator
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
East Baton Rouge Parish (225) 778-7678
GLORYHOUSE ILP
Clinic/Center (Community Health)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
East Baton Rouge Parish (225) 778-7678
MELINI REDDITT PLPC
Counselor (Mental Health)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
East Baton Rouge Parish (225) 778-7678
ALEXXIS DAVIS
Counselor (Mental Health)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
East Baton Rouge Parish (225) 778-7678
NONSTOP TRANSIT LLC
Non-emergency Medical Transport (VAN)
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
East Baton Rouge Parish (225) 227-7020
GERARD JACKSON OWNER
Driver
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
East Baton Rouge Parish (225) 614-8960
MRS. DORIS ANN AUGUSTUS MASTER DEGREE
Case Manager/Care Coordinator
3173 WASHINGTON AVE
BATON ROUGE, LA 70802
East Baton Rouge Parish (225) 778-7678

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 Cynthia Jackson's NPI number?

The NPI number for Cynthia Jackson is 1255734331. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Cynthia Jackson located?

Cynthia Jackson practices at 3173 Washington Ave, Baton Rouge, LA 70802. The listed phone number is (225) 778-7678.

What is Cynthia Jackson's specialty?

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

Is Cynthia Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cynthia Jackson was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.