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KEANDREA JACKSON M.A.
NPI 1639353592
Counselor - Mental Health in Jackson, MS

Active since December 27, 2007
4780 I 55 N STE 105, JACKSON, MS 39211(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keandrea Jackson M.a. NPPES

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

KEANDREA JACKSON M.A. (NPI 1639353592) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1639353592
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKEANDREA JACKSONCredential: M.A.
Location Address4780 I 55 N STE 105Jackson, MS 39211-5542
Mailing Address113a S Davis AveCleveland, MS 38732-3447 · (662) 843-9445 · Fax (662) 843-9447
Phone(601) 956-4816
Fax(601) 956-4817
Sole ProprietorNo
Enumeration DateDecember 27, 2007
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1639353592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4780 I 55 N STE 105, Jackson, MS 39211
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Other Identifiers 1

Medicaid01670076MS

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.

DONNA MURRY
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
GERTRICA HARRIS
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
ELVIA HERNANDEZ
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
SHOMEKA DAY
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
STEPHANIE COLLUM
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
SYLVIA DAVIS
Counselor (Mental Health)
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
RODNEY REED
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
ALTHEA ROBINSON-SWINT
Case Manager/Care Coordinator
4780 I 55 N STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816

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 Keandrea Jackson's NPI number?

The NPI number for Keandrea Jackson is 1639353592. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Keandrea Jackson located?

Keandrea Jackson practices at 4780 I 55 N Ste 105, Jackson, MS 39211. The listed phone number is (601) 956-4816.

What is Keandrea 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 Keandrea Jackson was last updated on July 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.