Ke'Arrah Jackson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

4266 West Main Street Suite 100
Gray, LA 70359

Phone

(985) 360-8199

NPI assigned

Aug 1, 2016

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Optimal Counseling Services, LLC

  • Counselor
  • Houma, LA
  • NPI 1306494760
  NPD Authorized official

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1356894919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 NATALIE PARK DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018439",
            "telephone_number": "985-360-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 WEST MAIN STREET SUITE 100",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "70359",
            "telephone_number": "985-360-8199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Idlewild Dr Apt A",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703641416",
            "country_code": "US",
            "telephone_number": "985-360-8199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KE'ARRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle M Harris, CRNA
• Headache & Pain Center, a Medical Corporation
• Kristy Hebert, NP
• Home Away From Home Transportation
• Britany Keyon Jackson, PHARMD
• Latoya Johnson
• Journey to Awareness Counseling, LLC
• Anika Keyes, MA
• Frank J Ladmirault, CRNA
• Andree Elizabeth Leblanc, FNP

• Professional Counselor in Gray, LA
• Providers in Gray, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.