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AVIS JACKSON
NPI 1770115206
Counselor - Professional in Lafayette, LA

Active since February 12, 2020
315 S COLLEGE RD, LAFAYETTE, LA 70503(337) 572-9844 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 7, 2024, Dec 28, 2022, Jul 20, 2020 and 1 more (4 updates tracked since 2020).

About Avis Jackson NPPES

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

AVIS JACKSON (NPI 1770115206) is an individual professional provider in Lafayette, Louisiana, licensed in Louisiana (PLC8960) and active in the NPI registry since February 2020. She maintains a secondary practice location in Denham Springs.

NPPES Registry Identity

NPI1770115206
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAVIS JACKSON
Location Address315 S COLLEGE RDLafayette, LA 70503-3212
Mailing Address9487 Brookline AveBaton Rouge, LA 70809-1429
Phone(337) 572-9844
Sole ProprietorYes
Enumeration DateFebruary 12, 2020
Last NPPES UpdateJune 7, 20244 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1770115206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · PLC8960
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
315 S COLLEGE RD, Lafayette, LA 70503
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Secondary Practice Location 1

Location 128446 Gray Eagle DrDenham Springs, LA 70726-7876 · Phone (225) 998-5372

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.

DEVIN DUPRE LLC
Social Worker (Clinical)
315 S COLLEGE RD
LAFAYETTE, LA 70503
Lafayette Parish (337) 349-3103
EDWIN PIERRE SR.
Counselor (Mental Health)
315 S COLLEGE RD, SUITE 100
LAFAYETTE, LA 70503
Lafayette Parish (337) 205-6073
YALANDA HAGGER
Technician (Personal Care Attendant)
315 S COLLEGE RD
LAFAYETTE, LA 70503
Lafayette Parish (337) 376-5063
JESSICA FONTENOT LPC, LRC
Counselor (Professional)
315 S COLLEGE RD, SUITE 220
LAFAYETTE, LA 70503
Lafayette Parish (337) 456-7880
KELLI BROUSSARD
Counselor (Mental Health)
315 S COLLEGE RD
LAFAYETTE, LA 70503
Lafayette Parish (337) 456-7880
SHAVONDA MARTIN MSW
Case Manager/Care Coordinator
315 S COLLEGE RD, SUITE 220
LAFAYETTE, LA 70503
Lafayette Parish (337) 456-7880
RENEE L HARRIS
Technician (Personal Care Attendant)
315 S COLLEGE RD
LAFAYETTE, LA 70503
Lafayette Parish (337) 269-1165
JILL DOUGLASS M.S., CCC-SLP
Speech-Language Pathologist
315 S COLLEGE RD, SUITE 195
LAFAYETTE, LA 70503
Lafayette Parish (337) 504-4244

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 Avis Jackson's NPI number?

The NPI number for Avis Jackson is 1770115206. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Avis Jackson located?

Avis Jackson practices at 315 S College Rd, Lafayette, LA 70503. The listed phone number is (337) 572-9844.

What is Avis Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Avis Jackson was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.