DOMIQUE JACKSON
NPI 1437694361
Counselor - Mental Health in New Orleans, LA

Active since January 02, 2017
4480 GENERAL DE GAULLE DR, ATE 210, NEW ORLEANS, LA 70131(504) 648-6758 Get Directions Write a Review

NPPES record last updated: January 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Domique Jackson NPPES

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

DOMIQUE JACKSON (NPI 1437694361) is an individual mental health provider in New Orleans, Louisiana and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1437694361
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMIQUE JACKSON
Location Address4480 GENERAL DE GAULLE DR, ATE 210New Orleans, LA 70131-6941
Mailing Address4480 General De Gaulle Dr, Ate 210New Orleans, LA 70131-6941 · (504) 648-6758
Sole ProprietorNo
Enumeration DateJanuary 2, 2017
NPI 1437694361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4480 GENERAL DE GAULLE DR, New Orleans, LA 70131

Other Providers at the Same Location NPPES 5

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

Community/Behavioral Health
4480 GENERAL DE GAULLE DR, SUITE # 219
NEW ORLEANS, LA 70131
Counselor (Mental Health)
4480 GENERAL DE GAULLE DR
NEW ORLEANS, LA 70131
Case Manager/Care Coordinator
4480 GENERAL DE GAULLE DR, SUITE 219
NEW ORLEANS, LA 70131
Counselor (Mental Health)
4480 GENERAL DE GAULLE DR, SUITE 210
NEW ORLEANS, LA 70131
Counselor (Professional)
4480 GENERAL DE GAULLE DR
NEW ORLEANS, LA 70131

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 Domique Jackson's NPI number?

The NPI number for Domique Jackson is 1437694361. It was assigned to this individual provider in the NPPES registry on January 2, 2017.

Where is Domique Jackson located?

Domique Jackson practices at 4480 General De Gaulle Dr Ate 210, New Orleans, LA 70131. The listed phone number is (504) 648-6758.

What is Domique 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 Domique Jackson was last updated on January 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.