Active NPI
Chandra Jackson, LPC, NCC, NCSC
- Mental Health Counselor
- Baton Rouge, LA
National Provider Identifier
1689151664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6459
- Practice address
- 1224 Stokley PL
Baton Rouge, LA 70815-7030 - Phone
- (225) 803-4802
- NPI assigned
- Jul 23, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6459 | LA | Primary |
Addresses
Primary practice location
1224 Stokley PL
Baton Rouge, LA 70815-7030
Mailing address
1224 Stokley PL
Baton Rouge, LA 70815-7030
Phone (225) 803-4802
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6459 | LA | MD | Speech-Language Pathologist |
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": "1550448000000",
"number": "1689151664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 STOKLEY PL",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708157030",
"telephone_number": "225-803-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 STOKLEY PL",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708157030",
"telephone_number": "225-803-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CHANDRA",
"name_prefix": "Mrs.",
"credential": "LPC, NCC, NCSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "6459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.