Jacqueline Jefferson, MA COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

936 N Bon Marche Dr
Baton Rouge, LA 70806-2257

Phone

(225) 636-2945

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Master of Arts

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1255782249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 N BON MARCHE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062257",
            "telephone_number": "225-636-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 N BON MARCHE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062257",
            "telephone_number": "225-636-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "JACQUELINE",
        "credential": "MA COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Manor Nursing & Rehab CNTR LLC
• Jefferson Oaks Behavioral Health Inc
• Jefferson Oaks Professional Services
• Athan Joseph Jefferson
• Eva Jefferson, FNP
• John A Jefferson, LPC
• Mylecka Shay Jefferson, LPC
• Sharon Jefferson
• Zaquoria D Jefferson
• Jeffrey S. Toler, D.D.S., Millerville Dental Group, a Professional Cor

• Mental Health Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.