Jannie Tackett, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1210095 Issued in AR

Practice address

3305 E Highland Dr Ste B
Jonesboro, AR 72401-6491

Phone

(870) 520-5015

Fax

(870) 520-5015

NPI assigned

Jun 26, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Logan Centers IncGroup PAC ID 0446208813, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Logan Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1932119187

  Professional

  Medicare reassignment Care Compare group NPD
• Life Strategies Counseling, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Jonesboro, AR
  • NPI 1932154945
  NPD (past)
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1053298711
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1124224035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "BAY",
            "state": "AR",
            "postal_code": "724110444",
            "telephone_number": "870-613-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 E HIGHLAND DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016491",
            "telephone_number": "870-520-5015",
            "fax_number": "870-520-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Church St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724012994",
            "country_code": "US",
            "telephone_number": "870-613-1310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "JANNIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1210095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229154719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin A Taber
• Valerie Tabor
• Elina Tacker
• Jane Tacker
• Brian Tackett
• Hannah Carrie Tadlock
• Franchesa Taggart
• Eumar T Tagupa, M.D.
• Tina A Taiwo
• Joshua Talbott

• Professional Counselor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.