KEANDREA JACKSON M.A.
NPI 1639353592
Counselor - Mental Health in Jackson, MS
NPI Status: Active since December 27, 2007
Contact Information
4780 I 55 N STE 105
JACKSON, MS
ZIP 39211
Phone: (601) 956-4816
Fax: (601) 956-4817
- Individual
- Female
- Counselor
- Mental Health
About KEANDREA JACKSON
This page provides the complete NPI Profile along with additional information for Keandrea Jackson, a provider established in Jackson, Mississippi with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1639353592 assigned on December 2007. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1639353592
- Provider Name
- KEANDREA JACKSON M.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4780 I 55 N STE 105 JACKSON, MS 39211
- Location Phone
- (601) 956-4816
- Location Fax
- (601) 956-4817
- Mailing Address
- 113A S DAVIS AVE CLEVELAND, MS 38732
- Mailing Phone
- (662) 843-9445
- Mailing Fax
- (601) 956-4817
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-27-2007
- Last Update Date
- 07-09-2021
- Code Navigator
A mental health counselor like Keandrea Jackson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01670076 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 3 | 5 | 3 | 5 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 5 | 6 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 5 + 6 + 5 + 1 + 8 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1639353592 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164963344 | RONA CORRELL MCJ Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1356864086 | CAROLYN DENISE JOHNSON Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1497320360 | AVEYUNNA RANSON Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1619517067 | ELIZABETH TAYLOR-CARTER Individual | Counselor (Mental Health) | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1326691924 | NEISHA TYWANDA SIMMONS Individual | Counselor (Mental Health) | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1649890161 | MORGAN LOWE MS, PCMHT Individual | Counselor (Mental Health) | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1619482361 | JENNIFER GREEN Individual | Counselor (Mental Health) | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1538730718 | SHUMBLA D SINGLETON Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1053982215 | CHERIEDA A WILLIAMS Individual | Counselor (Mental Health) | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1710558986 | SHERITA FLETCHER-MILLER Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1841644275 | PATRICIA ANN WILLIAMS MSW, PCMHT Individual | Counselor (Mental Health) | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1497420533 | DABRIEL PATE Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1265107320 | JASMYNE DAVIS Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1023788353 | GERTRICA HARRIS Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1891465126 | AKEELE JONES Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1720740137 | SHERNISE KING Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1205591237 | CHANDRA BROWN Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1548697121 | SHIRLEY JONES MSW, CMHT Individual | Counselor (Mental Health) | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1639834948 | JACQUELINE DAVIS Individual | Case Manager/Care Coordinator | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
| 1225606783 | MR. DANNY J STREETER Individual | Counselor (Addiction (Substance Use Disorder)) | 4780 I 55 N STE 105 JACKSON, MS 39211 (601) 956-4816 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639353592, enumerated in the NPI registry as an "individual" on December 27, 2007
The provider is located at 4780 I 55 N Ste 105 Jackson, Ms 39211 and the phone number is (601) 956-4816
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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