GLENISHA JACKSON NPI 1801260351

NPI Information

  • NPI: 1801260351
  • Provider Name: GLENISHA JACKSON
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 4700 WISHERS DRIVE
    MARRERO, LA
    ZIP 70072
  • Phone: (504) 407-0709

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NPI Details

Glenisha Jackson is a counselor in Marrero, 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. Glenisha Jackson NPI is 1801260351. 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:

4700 WISHERS DRIVE
MARRERO, LA
ZIP 70072
Phone: (504) 407-0709
Fax: (504) 333-6252

The enumeration date for this NPI number is 11/20/2015 and was last updated on 11/20/2015.

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
1101Y00000XCounselorYes

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
1251S00000MEDICAIDLOUISIANA

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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