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JAQUAY JACKSON CMHT
NPI 1396307179
Counselor in Laurel, MS

Active since July 02, 2019
119 S 12TH AVE, LAUREL, MS 39440(601) 342-8215 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaquay Jackson Cmht NPPES

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

JAQUAY JACKSON CMHT (NPI 1396307179) is an individual counselor in Laurel, Mississippi and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1396307179
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJAQUAY JACKSONCredential: CMHT
Location Address119 S 12TH AVELaurel, MS 39440-4322
Mailing Address860 E River Pl Ste 100Jackson, MS 39202-3442
Phone(601) 342-8215
Sole ProprietorNo
Enumeration DateJuly 2, 2019
✔ NPI 1396307179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
119 S 12TH AVE, Laurel, MS 39440
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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.

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
119 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 649-3003
JENNIFER MARIE JONES
Counselor
119 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 342-8215
CHERYL JONES
Social Worker
119 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 342-8215
APRYLE OLIVIA CUNNINGHAM
Social Worker
119 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 342-8215
DEVONA PUGH
Social Worker
119 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 342-8215
SAMANTHA BROWN
Counselor
119 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 342-8215
SADE SYMONE HOLLINGSWORTH
Social Worker
119 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 342-8215
LAUREN ANTOINETTE HOUSE
Counselor
119 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 342-8125

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 Jaquay Jackson's NPI number?

The NPI number for Jaquay Jackson is 1396307179. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Jaquay Jackson located?

Jaquay Jackson practices at 119 S 12th Ave, Laurel, MS 39440. The listed phone number is (601) 342-8215.

What is Jaquay Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jaquay Jackson was last updated on July 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.