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SHADA JAKES MSW
NPI 1669842068
Counselor - Mental Health in Jackson, MS

Active since September 29, 2015
4780 I 55 N STE 105, JACKSON, MS 39211(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 15, 2018, Sep 30, 2015 (2 updates tracked since 2015).

About Shada Jakes Msw NPPES

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

SHADA JAKES MSW (NPI 1669842068) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1669842068
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHADA JAKESCredential: MSW
Location Address4780 I 55 N STE 105Jackson, MS 39211-5542
Mailing AddressPo Box 1046Clarksdale, MS 38614-1046 · (662) 627-7267 · Fax (662) 627-5240
Phone(601) 956-4816
Fax(601) 956-4817
Sole ProprietorNo
Enumeration DateSeptember 29, 2015
Last NPPES UpdateMarch 24, 20222 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
✔ NPI 1669842068 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 Shada Jakes's NPI number?

The NPI number for Shada Jakes is 1669842068. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Shada Jakes located?

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

What is Shada Jakes'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 Shada Jakes was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.