Jackie Denese Powell, M.ED, LPC-S, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2935 Issued in LA

Practice address

1200 S Acadian Thruway
Baton Rouge, LA 70806-6900

Phone

(225) 831-4998

Fax

(225) 831-4997

NPI assigned

Aug 30, 2006

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Solutions of Louisiana, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1114555711
  NPD (past)
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1194834390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 FAULKNER DR",
            "city": "DARROW",
            "state": "LA",
            "postal_code": "707252525",
            "telephone_number": "225-574-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S ACADIAN THRUWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066900",
            "telephone_number": "225-831-4998",
            "fax_number": "225-831-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Thomas H Delpit Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708026626",
            "country_code": "US",
            "telephone_number": "225-636-2395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5154 Faulkner Dr",
            "address_purpose": "LOCATION",
            "city": "Darrow",
            "state": "LA",
            "postal_code": "707252525",
            "country_code": "US",
            "telephone_number": "318-503-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JACKIE",
        "middle_name": "DENESE",
        "name_prefix": "Mrs.",
        "credential": "M.ED,  LPC-S,  LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77206",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2935",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyro P Poullard
• Dontrell Pounds
• Kenya Pounds
• Markeith Pounds
• Demetris Powell
• Karen Borne Powell, APRN, NNP
• Kelley Ainsworth Powell, MCD, CCC-A
• Maureen S Powell, LCSW
• Patricia Antoinette Powell
• Powerhouse Transit LLC

• Professional Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.