Latoya Jack

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4396 Gordon Woods Dr
Lake Charles, LA 70615-2997

Phone

(337) 215-0576

NPI assigned

May 30, 2017

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

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417485855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4396 GORDON WOODS DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706152997",
            "telephone_number": "337-215-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4396 GORDON WOODS DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706152997",
            "telephone_number": "337-215-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "LATOYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Istre, LPC
• Garett R Istre, N.P.
• Kathryn Marie Istre
• J C Clement Inc.
• J. William Groves, Jr., M.D., L.L.C.
• Ethel M Jacko
• Talisha Jacko
• Allison Nichole Jackson, LCSW
• Bianca Jackson
• Christina N Jackson

• Mental Health Counselor in Lake Charles, LA
• Providers in Lake Charles, 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 Jul 21, 2022; 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.