Jackson Group

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JACKSON GROUP

Practice address

4035 Washington Ave
New Orleans, LA 70125-2935

Phone

(504) 535-5082

Fax

(877) 250-2283

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Dreatha J Jackson, MA, LPC, NCCNPI 1801963483

Title

Ceo

Phone

(618) 623-9771

Specialties & licenses 1

Addresses

Other names 1

• Jackson Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dreatha Jean Jackson, MA, LPC, NCC

  • Professional Counselor
  • New Orleans, LA
  • NPI 1801963483
  NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1306486345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 PONTCHARTRAIN BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241934",
            "telephone_number": "618-623-9771",
            "fax_number": "877-250-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 WASHINGTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701252935",
            "telephone_number": "504-535-5082",
            "fax_number": "877-250-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DREATHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-623-9771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J Rapha DME LLC
• Vivian R Jaber, MD, PHD
• Mandrell Montel Jack
• Trinese Jack
• Jackson Education and Counseling Services
• Jackson Hands of Change
• Tamara Jackson-Snowden, MSW, LCSW,MBA, CA
• Maga E Jackson-Triche, M.D.
• Amanda Ann Brown Jackson, MD
• Ami Rynae Jackson, CRNP

• Professional Counselor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.