JEWEL PAMELA JACKSON
NPI 1386000735
Counselor - Professional in Baton Rouge, LA

Q: What is Jewel Jackson's NPI number?

The NPI number for Jewel Jackson is 1386000735. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Q: What is Jewel 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 Jewel Jackson was last updated on July 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 14, 2016PECOS EnrolledAccepts Medicare Assignment

8326 KELWOOD AVE, BATON ROUGE, LA 70806(225) 929-9738(225) 929-9740 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2019, Jan 14, 2016 (2 updates tracked since 2016).

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About Jewel Pamela Jackson NPPES

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

JEWEL PAMELA JACKSON (NPI 1386000735) is an individual professional provider in Baton Rouge, Louisiana, licensed in Louisiana (825) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1386000735

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJEWEL PAMELA JACKSON

Location Address8326 KELWOOD AVEBaton Rouge, LA 70806-4803

Mailing Address3625 Youree DrShreveport, LA 71105-2121

Phone(225) 929-9738

Fax(225) 929-9740

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateJanuary 14, 2016

Last NPPES UpdateJuly 22, 20192 updates tracked since enumeration

✔ NPI 1386000735 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 LA · 825

8326 KELWOOD AVE, Baton Rouge, LA 70806

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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

Jewel Pamela Jackson 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 ID1850819632

PECOS Enrollment IDI20250515001444

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.

MS. EBONY LASHAWN WALLACE

Case Manager/Care Coordinator