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KRISTIE JACKSON
NPI 1639629454
Counselor - Mental Health in Vidalia, LA

Active since October 04, 2016
1644 CARTER ST, SUITE 2, VIDALIA, LA 71373(318) 414-3065(318) 414-3067 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristie Jackson NPPES

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

KRISTIE JACKSON (NPI 1639629454) is an individual mental health provider in Vidalia, Louisiana and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1639629454
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIE JACKSON
Location Address1644 CARTER ST, SUITE 2Vidalia, LA 71373-3143
Mailing Address1644 Carter St, Suite 2Vidalia, LA 71373-3143 · (318) 414-3065 · Fax (318) 414-3067
Phone(318) 414-3065
Fax(318) 414-3067
Sole ProprietorNo
Enumeration DateOctober 4, 2016
✔ NPI 1639629454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1644 CARTER ST, Vidalia, LA 71373
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Other Providers at the Same Location NPPES 10

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

AMBER J JOHNSON
Counselor (Mental Health)
1644 CARTER ST
VIDALIA, LA 71373
Concordia Parish (313) 414-3065
VALERIE JACKSON
Counselor (Mental Health)
1644 CARTER ST, SUITE 2
VIDALIA, LA 71373
Concordia Parish (318) 414-3065
MS. YOLANDA NICHOLE ALLEN
Case Manager/Care Coordinator
1644 CARTER ST
VIDALIA, LA 71373
Concordia Parish (225) 930-2993
TWYANE GAIL STEWART
Counselor (Mental Health)
1644 CARTER ST
VIDALIA, LA 71373
Concordia Parish (601) 446-9481
LATOYA PATRICE FLEMING
Counselor (Mental Health)
1644 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 414-3065
YVONNE ANDERSON
Case Manager/Care Coordinator
1644 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 414-3065
CAROL KAWANIS WILLIAMS
Counselor (Mental Health)
1644 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 414-3065
MONIQUE REEED
Counselor (Mental Health)
1644 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 414-3065

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 Kristie Jackson's NPI number?

The NPI number for Kristie Jackson is 1639629454. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Kristie Jackson located?

Kristie Jackson practices at 1644 Carter St Suite 2, Vidalia, LA 71373. The listed phone number is (318) 414-3065.

What is Kristie 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 Kristie Jackson was last updated on October 4, 2016. 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.