Active NPI
Cynthia R Jackson
- Mental Health Counselor
- Baton Rouge, LA
National Provider Identifier
1255734331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3173 Washington Ave
Baton Rouge, LA 70802-2178 - Phone
- (225) 778-7678
- Fax
- (225) 341-6825
- NPI assigned
- Oct 2, 2014
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3173 Washington Ave
Baton Rouge, LA 70802-2178
Mailing address
3173 Washington Ave
Baton Rouge, LA 70802-2178
Phone (225) 778-7678
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251B00000X | Other | TX | PLPC |
| 101Y00000X | Other | LA | PLPC |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morning Star Health Rehab Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1063809556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1255734331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3173 WASHINGTON AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708022178",
"telephone_number": "225-778-7678",
"fax_number": "225-341-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3173 WASHINGTON AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708022178",
"telephone_number": "225-778-7678",
"fax_number": "225-341-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CYNTHIA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLPC",
"identifier": "251B00000X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLPC",
"identifier": "101Y00000X",
"state": "LA"
}
],
"endpoints": [],
"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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.