JADA JACKSON
NPI 1417498692
Counselor - Mental Health in Lake Charles, LA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 20, 2017

1639 RYAN ST, LAKE CHARLES, LA 70601(337) 602-6391(337) 602-6392 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jada Jackson NPPES

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

JADA JACKSON (NPI 1417498692) is an individual mental health provider in Lake Charles, Louisiana and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1417498692

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJADA JACKSON

Location Address1639 RYAN STLake Charles, LA 70601-5948

Mailing Address1639 Ryan StLake Charles, LA 70601-5948 · (337) 602-6391 · Fax (337) 602-6392

Phone(337) 602-6391

Fax(337) 602-6392

Sole ProprietorNo

Enumeration DateMarch 20, 2017

✔ NPI 1417498692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1639 RYAN ST, Lake Charles, LA 70601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

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.

NATALIA BUTLER

Counselor (Mental Health)