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JAMES JACKSON
NPI 1417406380
Counselor - Mental Health in Lake Providence, LA

Active since October 03, 2016
1700 LAKE ST, LAKE PROVIDENCE, LA 71254(318) 559-0551 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Jackson NPPES

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

JAMES JACKSON (NPI 1417406380) is an individual mental health provider in Lake Providence, Louisiana and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1417406380
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAMES JACKSON
Location Address1700 LAKE STLake Providence, LA 71254-5208
Mailing Address1700 Lake StLake Providence, LA 71254-5208 · (318) 559-0551
Phone(318) 559-0551
Sole ProprietorYes
Enumeration DateOctober 3, 2016
✔ NPI 1417406380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1700 LAKE ST, Lake Providence, LA 71254
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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.

LARRIMI SHAE WILLIAMS
Counselor (Mental Health)
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-0551
SHIRLEY ANNE LYONS
Case Manager/Care Coordinator
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-0551
COURTNEY MICHELLE WINGATE
Case Manager/Care Coordinator
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-0551
OLANDA KENNEDY
Case Manager/Care Coordinator
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-0551
MRS. KALEISHA HANFORD
Case Manager/Care Coordinator
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-0551
MS. ANTRAMEKA W SHAW
Counselor (Mental Health)
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-0414
RENADA CORLETHA THOMPSON
Counselor (Mental Health)
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-0414
MYRTIS MAGEE I LMSW
Social Worker
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 553-0551

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 James Jackson's NPI number?

The NPI number for James Jackson is 1417406380. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Where is James Jackson located?

James Jackson practices at 1700 Lake St, Lake Providence, LA 71254. The listed phone number is (318) 559-0551.

What is James 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 James Jackson was last updated on October 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.