NPIMap

Individual provider Active NPI

Rekita Jackson, LPC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1013240274
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4280 Issued in AL
Practice address
809 Richard Arrington Jr Blvd N
Birmingham, AL 35203-2301
Phone
(205) 325-5670
NPI assigned
Sep 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4280 AL Primary

Addresses

Primary practice location

809 Richard Arrington Jr Blvd N
Birmingham, AL 35203-2301

Mailing address

1025 23Rd St S Ste 320
Birmingham, AL 35205-2499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4280ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
2ND Chances Better Choices Counseling and Consulting Services, LLC CurrentSince Mar 28, 2021 Accepting new patients
East Alabama Mental Health-Mental Retardation Board Incorpor Past Accepting new patients
East Alabama Mental Health-Mental Retardation Board Incorpor Past Accepting new patients

Locations

1025 23rd St S
Ste 320
Birmingham, AL 35205
Phone (205) 775-7718

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1013240274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 23RD ST S STE 320",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 RICHARD ARRINGTON JR BLVD N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352032301",
            "telephone_number": "205-325-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "REKITA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.