SHAMEKA JACKSON (NPI# 1700391265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700391265 |
| Entity Type | Individual |
| Full Name | SHAMEKA JACKSON |
| Practice Address |
1409 Kirkman St Lake Charles LA 70601-5344 |
| Practice Telephone | 3374193586 |
| Mailing Telephone | 3374193586 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1409 KIRKMAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
| 1972128304 | Latin Berry Sr. | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-11 |
| 1902421654 | David Jennings Milliken | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-09 |
| 1659995629 | Cole Campo | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-04 |
| 1881223857 | Mollie Yorks | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-04-02 |
| 1447886643 | Morgan Leanne Appleby | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-03-19 |
| 1851925408 | Theresa Marie Hardy | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-02-22 |
| 1346881331 | Veronica Lubin | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-10-01 |
| 1760033385 | Michelle B Harp | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-09-25 |
| 1144875048 | Vanessa Silas Mckinstry | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053943118 | April Tanner | Counselor | 635 Petro Point Dr Ste A, Lake Charles, LA 70607-7066 | 2020-02-06 |
| 1871141986 | Kiddos Therapy Konnection LLC | Counselor | 814 W Mcneese St # 241, Lake Charles, LA 70605-5426 | 2019-09-01 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1386153401 | Erica Jenkins | Counselor | 5000 Lake Street #4955, Lake Charles, LA 70606 | 2017-09-20 |
| 1043749542 | Briaunna Nicole Robinson | Counselor | 4510 Common St Apt 8, Lake Charles, LA 70607-5745 | 2017-06-08 |
| 1831628494 | Lisa Moore | Counselor | 2714 Tupelo St, Lake Charles, LA 70601-7376 | 2017-06-07 |
| 1164950309 | Kimberly J Evans | Counselor | 1409 Kirkman Street, Lake Charles, LA 70601-5344 | 2017-06-01 |
| 1417485855 | Latoya Jack | Counselor | 4396 Gordon Woods Dr, Lake Charles, LA 70615-2997 | 2017-05-30 |
| 1346785367 | Kingdom Expressions LLC | Counselor | 1639 Ryan St Ste B, Lake Charles, LA 70601-5948 | 2016-12-29 |
| 1508301037 | Mental Connections of Southwest LLC Group | Counselor | 133 Jefferson Dr, Lake Charles, LA 70605-5713 | 2016-12-19 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on SHAMEKA 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.