Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Destiny Jackson, MA, PLPC, PLMFT

Individual provider Mental Health Counselor · NPI 1184171100

Destiny Jackson, MA, PLPC, PLMFT is a Mental Health Counselor in Shreveport, Louisiana. Qualified in 2013, 13 years ago. Practices with Azalea Health Services, a 42-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
13
Licensed in
LA
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3341 Youree Dr 101
Shreveport, LA 71105-2149
Phone: (318) 219-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (LA)

Record details

NPI number1184171100
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , PLPC , PLMFT
Sole proprietorNo
NPI enumeratedSeptember 7, 2016
Last updated in NPPESSeptember 7, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Azalea Health Services — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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