KEYANA DESHAWN JACKSON (NPI# 1194196204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194196204 |
| Entity Type | Individual |
| Full Name | KEYANA DESHAWN JACKSON |
| Credential | LPC, NBCC |
| Practice Address |
4041 Daytona Ave Baton Rouge LA 70814 |
| Mailing Address |
4041 Daytona Ave Baton Rouge LA 70814-7145 |
| Practice Telephone | 2259335091 |
| Mailing Telephone | 2259335091 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5941 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | PRIVATE INSURERS | 83-2271140 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2320 Drusilla Ln Ste E, Baton Rouge, LA 708091495 | 2259304530 | 2259304532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982020095 | Keyana Marie Jackson | Counselor | 445 31st St N, St Petersburg, FL 33713-7605 | 2014-03-13 |
| Street Address |
4041 DAYTONA AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417409 | Dianne Smart Patterson | Case Manager/Care Coordinator | 10821 Cedar Bend Ave, Baton Rouge, LA 70814 | 2018-05-14 |
| 1649794785 | Quiana Gage | Counselor | 3185 Oakcrest Drive, Baton Rouge, LA 70814 | 2017-07-31 |
| 1093166696 | Caring To Love Ministries Inc | Clinic/Center | 3813 North Flannery Rd, Baton Rouge, LA 70814 | 2016-06-24 |
| 1124480439 | Marquiea Anderson | Counselor | 3323 Charlotte Dr., Baton Rouge, LA 70814 | 2016-03-25 |
| 1013311877 | Tasha Lucien | Registered Nurse | 8508 Greeenwell Springs Rd Apt #27, Baton Rouge, LA 70814 | 2014-10-22 |
| 1245661271 | Freds Stores of Tennessee Inc | Pharmacy | 10710 Greenwell Springs Road, Baton Rouge, LA 70814 | 2013-12-02 |
| 1104057686 | Terri Whitley Jackson | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814 | 2009-08-02 |
| 1457539025 | Kenny Roy Oswald | Dentist | 3557 Monterrey Drive, Baton Rouge, LA 70814 | 2008-02-06 |
| 1093990806 | Cahronda Kaliquec Johnson | Speech-Language Pathologist | 3837 Sarasota Dr, Baton Rouge, LA 70814 | 2007-12-31 |
| 1689750887 | Thuong-tri Dinh Nguyen | Dentist | 4814 Monticello Blvd, Baton Rouge, LA 70814 | 2006-10-31 |
| Find all providers in zip 70814 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160024 | Benjamin Ng | Counselor | 8758 Field Dr, Baton Rouge, LA 70809-2903 | 2020-10-07 |
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1578181814 | Angela Nicole Vaughn | Counselor | 7464 Board Dr, Baton Rouge, LA 70817-5311 | 2020-07-13 |
| 1487270393 | Joanna Sheppard | Counselor | 331 Grandpre St, Baton Rouge, LA 70802-5919 | 2020-06-17 |
| 1417579012 | Cl's Counseling and Consulting Firm, LLC | Counselor | 13969 Windwood Dr, Baton Rouge, LA 70816-1887 | 2020-05-18 |
| 1043830938 | Andrea Frank | Counselor | 2506 Mcgrath Ave Apt 16, Baton Rouge, LA 70806-5434 | 2020-04-21 |
| 1881214666 | Shetamian Wilson | Counselor | 4336 North Blvd Ste 208, Baton Rouge, LA 70806-3920 | 2020-04-21 |
| 1679108740 | Gracefully Purposed Counseling & Consulting, LLC | Counselor | 8542 Siegen Ln Ste 6, Baton Rouge, LA 70810-1940 | 2020-03-09 |
| 1588227623 | Melanie E Salles | Counselor | 2718 Toulon Dr, Baton Rouge, LA 70816-5120 | 2019-04-15 |
| 1275091514 | A T.r.u.t.h. 180 Health Services of Louisiana, LLC | Counselor | 1254 Central Rd, Baton Rouge, LA 70807-3820 | 2019-03-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70814 |
Please comment or provide details below to improve the information on KEYANA DESHAWN JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.