MARIBEL JACKSON NPI 1730691155

NPI Information

  • NPI: 1730691155
  • Provider Name: MARIBEL JACKSON
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 3484 CEDARCREST AVE APT 1302
    BATON ROUGE, LA
    ZIP 70816
  • Phone: (225) 614-7166

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NPI Details

Maribel Jackson is a counselor in Baton Rouge, LA. The provider is 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. Maribel Jackson NPI is 1730691155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3484 CEDARCREST AVE APT 1302
BATON ROUGE, LA
ZIP 70816-095
Phone: (225) 614-7166

The enumeration date for this NPI number is 10/25/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorLOUISIANAYes
2171M00000XCase Manager/Care CoordinatorNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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