Individual provider Active NPI

Erika Jackson, PLPC

  • Counselor
  • Saint Louis, MO
National Provider Identifier
1992195036
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2015000873 Issued in MO
Practice address
111 Church St
Ste. 103
Saint Louis, MO 63135-2441
Phone
(314) 616-8919
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2015000873 MO Primary

Addresses

Primary practice location

111 Church St
Ste. 103
Saint Louis, MO 63135-2441

Mailing address

111 Church St
Ste. 103
Saint Louis, MO 63135-2441
Phone (314) 616-8919

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

LicenseStateTypeSpecialty
2015000873MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balm Therapeutic Services, LLC Current Accepting new patients
Balm Therapeutic Services, LLC Current Accepting new patients

Locations

111 Church St
Ste 103
Saint Louis, MO 63135
Phone (314) 522-8884

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1992195036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST",
            "address_2": "STE. 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352441",
            "telephone_number": "314-616-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST",
            "address_2": "STE. 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352441",
            "telephone_number": "314-616-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ERIKA",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2015000873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.