Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Linda Natasha Rene Jackson, LPC

Individual provider Mental Health Counselor · NPI 1053816314

Linda Natasha Rene Jackson, LPC is a Mental Health Counselor in Gulfport, Mississippi. Qualified in 2018, 8 years ago. Practices with Premier Professional Counseling Services, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2715 Bullis Ave
Gulfport, MS 39501-5233
Phone: (228) 220-4226
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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 · Licence 3118 (MS)

Record details

NPI number1053816314
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 28, 2018
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Premier Professional Counseling Services, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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