Natasha V Jackson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C8125 Issued in MS

Practice address

180 Sheppard Rd Ste 115
Jackson, MS 39206-4033

Phone

(601) 813-6141

NPI assigned

Feb 28, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: natasha.jackson.p1@direct.magnoliamedical.nextgenshare.com

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.

• Newstart Medical Group Inc

  • Rural Health Clinic/Center
  • Weimar, CA
  • NPI 1588072698

  Single Specialty

  Medicare reassignment NPD
• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Clinical

  Medicare reassignment NPD
• TML Behavioral Health Group LLC

  • Psychiatric Residential Treatment Facility
  • Castaic, CA
  • NPI 1003661737
  NPD

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952641805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CROSSGATES BLVD APT 226",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422560",
            "telephone_number": "601-813-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SHEPPARD RD STE 115",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064033",
            "telephone_number": "601-813-6141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Highway 80 W",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392097201",
            "country_code": "US",
            "telephone_number": "601-321-2400",
            "fax_number": "601-321-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NATASHA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "C8125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Halase Jackson, MSN, APRN, FNP-C
• Lisa Thompson Jackson, CRNA
• Lucille Jackson
• Maybelle F. Jackson, NP
• Melissa Barham Jackson, NP
• Nicholas Jackson, BA
• Richard Terry Jackson, M.D.
• Roshanda Delynn Jackson, LCSW
• Shutellia Jackson
• Taylor Nicole Jackson

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.