Active NPI
Christie E. Jackson, LPC, NCC
- Professional Counselor
- Metairie, LA
National Provider Identifier
1811200835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3960
- Practice address
- 2901 Ridgelake Dr
Suite 206
Metairie, LA 70002-4966 - Phone
- (504) 491-5117
- Fax
- (504) 309-7845
- NPI assigned
- Jul 19, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3960 | LA | Primary |
Addresses
Primary practice location
2901 Ridgelake Dr
Suite 206
Metairie, LA 70002-4966
Mailing address
PO Box 6744
New Orleans, LA 70174-6744
Phone (504) 309-7844
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 |
|---|---|---|---|
| 3960 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1811200835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6744",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701746744",
"telephone_number": "504-309-7844",
"fax_number": "504-309-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 RIDGELAKE DR",
"address_2": "SUITE 206",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024966",
"telephone_number": "504-491-5117",
"fax_number": "504-309-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CHRISTIE",
"middle_name": "E.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3960",
"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 Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.