Active NPI
Laurie Rene Jackson, M.S.
- Counselor
- Anchorage, AK
National Provider Identifier
1447737408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 517 W Northern Lights Blvd
Anchorage, AK 99503-2503 - Phone
- (907) 242-0847
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
517 W Northern Lights Blvd
Anchorage, AK 99503-2503
Mailing address
1510 Waterwood Cir
Anchorage, AK 99507-2183
Phone (907) 242-0847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1447737408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 WATERWOOD CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995072183",
"telephone_number": "907-242-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 W NORTHERN LIGHTS BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032503",
"telephone_number": "907-242-0847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LAURIE",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.