Trinette Amelia Jackson, RN,BSN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4336 North Blvd Ste 104
Baton Rouge, LA 70806-3920

Phone

(225) 960-7419

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By 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

Credentials

Bachelor on Science - Nursing, Registered Nurse

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1396208617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 DANCY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708143004",
            "telephone_number": "225-301-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 NORTH BLVD STE 104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063920",
            "telephone_number": "225-960-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TRINETTE",
        "middle_name": "AMELIA",
        "credential": "RN,BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Nicole Jackson
• Taylor Carletta Jackson, RSW
• Terri Whitley Jackson, PHARMD
• Thad Jackson
• Tracie Lashelle Jackson, P.T., DPT
• Tyesha Nicole Jackson
• Velma H Jackson, D.D.S.
• Jacob Dent, DDS. Baton Rouge Modern Dentistry, a Professional Corp (Baton Rouge Dental Dentistry)
• Jacob Francis Henderson DDS LLC (Central Dental Care)
• Jacob M. Estes, M.D., LLC

• 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 Apr 12, 2019; 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.