Active NPI
Lawrence Jackson, PHD
- Marriage & Family Therapist
- Metairie, LA
National Provider Identifier
1710596267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1517
- Practice address
- 3800 Houma Blvd Ste 250
Metairie, LA 70006-5013 - Phone
- (504) 988-8468
- NPI assigned
- Jul 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | TPMF644 | FL | |
| Marriage & Family Therapist | 106H00000X | 3173 | NV | |
| Marriage & Family Therapist | 106H00000X | 1517 | LA | Primary |
Addresses
Primary practice location
3800 Houma Blvd Ste 250
Metairie, LA 70006-5013
Mailing address
3800 Houma Blvd Ste 250
Metairie, LA 70006-5013
Phone (504) 988-8468
Other practice location 1
10655 Park Run Dr
Las Vegas, NV 89144-4589
Phone (504) 214-0715
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1517 | LA | MD | Professional Counselor |
| TPMF644 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1710596267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 HOUMA BLVD STE 250",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700065013",
"telephone_number": "504-988-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 HOUMA BLVD STE 250",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700065013",
"telephone_number": "504-988-8468"
}
],
"practiceLocations": [
{
"address_1": "10655 Park Run Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891444589",
"country_code": "US",
"telephone_number": "504-214-0715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "TPMF644",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "3173",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "1517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.