KE'ARRAH JACKSON (NPI# 1356894919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356894919 |
| Entity Type | Individual |
| Full Name | KE'ARRAH JACKSON |
| Practice Address |
501 Sunset Ave Houma LA 70360 |
| Mailing Address |
157 Natalie Park Dr Thibodaux LA 70301-8439 |
| Practice Telephone | 9853608199 |
| Mailing Telephone | 9853608199 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 441 Idlewild Dr Apt A, Houma, LA 703641416 | 9853608199 |
| Street Address |
501 SUNSET AVE |
| City | HOUMA |
| State | LA |
| Zip Code | 70360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548391345 | Carol Teuton Benoit | Counselor | 501 Sunset Ave, Houma, LA 70360-6653 | 2007-03-07 |
| 1306494760 | Optimal Counseling Services, LLC | Clinic/Center | 501 Sunset Ave, Houma, LA 70360-6653 | 2019-08-29 |
| 1124568373 | Positive Potential Counseling | Community/Behavioral Health | 501 Sunset Ave, Houma, LA 70360-6653 | 2017-03-06 |
| 1851763262 | Daphnie Vilcan | Counselor | 501 Sunset Ave, Houma, LA 70360 | 2015-10-24 |
| 1538560891 | Melissa Walker | Counselor | 501 Sunset Ave, Houma, LA 70360-6653 | 2014-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396247565 | Gail Thomas | Counselor | 214 Woodburn Dr, Houma, LA 70364-2383 | 2018-03-05 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1710410311 | Kristy Carter | Counselor | 6522 W Main St, Houma, LA 70360-2267 | 2017-04-10 |
| 1679020903 | Lacey Picou-billiot | Counselor | 1340 W Tunnel Blvd Ste 303, Houma, LA 70360-2827 | 2016-09-02 |
| 1699221820 | Trudy Franks | Counselor | Start Corporation, 420 Magnolia Street, Houma, LA 70361 | 2016-08-28 |
| 1841658218 | Kara Frances Zeringue | Counselor | 1812 Prospect Blvd, Houma, LA 70363-5309 | 2016-02-01 |
| 1619309747 | Bliss Kiff Cunningham | Counselor | 209 S Hollywood Rd, Houma, LA 70360-2716 | 2013-07-31 |
| 1477894384 | Jacqueline B Spencer | Counselor | 249 T. Leigh Drive, Houma, LA 70364 | 2013-03-04 |
| 1629233994 | Elizabeth Billiot Cooper | Counselor | 409 Garnet St, Houma, LA 70364 | 2008-07-25 |
| 1033324637 | Angelle Cherie Caro | Counselor | 8 B Professional Drive, Houma, LA 70360 | 2007-05-14 |
| Find all providers in HOUMA | ||||
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| 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.