Rasheedah Jackson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5395 Estate Office Dr Ste 1
Memphis, TN 38119-0614

Phone

(901) 232-1956

Fax

(901) 347-1145

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunflower Counseling Service PLLC

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1740749175
  NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1720789316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 ESTATE OFFICE DR STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190614",
            "telephone_number": "901-232-1956",
            "fax_number": "901-347-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 ESTATE OFFICE DR STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190614",
            "telephone_number": "901-232-1956",
            "fax_number": "901-347-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RASHEEDAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mika Tralayne Jackson, APRN, PMHNP
• Milissa Jackson, D.PH.
• Nevonda Venice Jackson, PHARM.D.
• Otis Jackson Jr.
• Pamela A Jackson
• Regina Rodgers Jackson, FNP
• Ricky Jackson
• Ruth Jackson, APN
• Scott Christian Jackson
• Shandrika Jackson, RN

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.