Active NPI
Charnel Lazette Jackson, MA
- Professional Counselor
- Zachary, LA
National Provider Identifier
1619205150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3661
- Practice address
- 4787 Waywood Dr
#C
Zachary, LA 70791-2480 - Phone
- (225) 654-6321
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3661 | LA | Primary |
Addresses
Primary practice location
4787 Waywood Dr
#C
Zachary, LA 70791-2480
Mailing address
6820 Celia Dr
Baton Rouge, LA 70811-1133
Phone (225) 235-6281
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3661 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skinner & Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Zachary, LA
- NPI 1346324522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1619205150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 CELIA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708111133",
"telephone_number": "225-235-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4787 WAYWOOD DR",
"address_2": "#C",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912480",
"telephone_number": "225-654-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CHARNEL",
"middle_name": "LAZETTE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.