Active NPI
Cerika Jackson
- Counselor
- Baton Rouge, LA
National Provider Identifier
1174034235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 8706 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2233 - Phone
- (225) 926-9706
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PLC9351 | LA | |
| Case Manager/Care Coordinator | 171M00000X | PLC9351 | LA | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
8706 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2233
Mailing address
8706 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2233
Phone (225) 926-9706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | n/a |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PLC9351 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675555200000",
"number": "1174034235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8706 JEFFERSON HWY STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092233",
"telephone_number": "225-926-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8706 JEFFERSON HWY STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092233",
"telephone_number": "225-926-9706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CERIKA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2023-02-05",
"certification_date": "2023-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "PLC9351",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "PLC9351",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000000",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "n/a",
"affiliation": "N",
"address_1": "8706 Jefferson Hwy Ste A",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708092233",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.