Luan Kay Jackson, RN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4704087145 Issued in MI

Practice address

456 S Main St
Lapeer, MI 48446-2427

Phone

(810) 664-4641

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Jackson Dental

  • Dentist
  • Lapeer, MI
  • NPI 1407120504
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1073911079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 STROUD CT",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497202038",
            "telephone_number": "810-252-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 S MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462427",
            "telephone_number": "810-664-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LUAN",
        "middle_name": "KAY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4704087145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Iordanou, DO
• Irb Medical Equipment, LLC
• Jessica Jackowski, RDN
• Jackson Dental
• Brent Jackson, D.D.S.
• Mary Ann James
• Reese James, D.O.
• Jan C Gromada DO Facoog PLLC
• Gloria Janisz
• Christine E Jaros

• Mental Health Counselor in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.