Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa M Jackson, PLPC

Individual provider Case Manager/Care Coordinator · NPI 1184076630

Lisa M Jackson, PLPC is a Mental Health Counselor in Natchitoches, Louisiana. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in Louisiana.

Years since qualifying
8
Licensed in
LA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

210 Medical Dr
Natchitoches, LA 71457-6052
Phone: (318) 357-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 265 Highland Dr, Many, LA 71449-3717 — (318) 256-4206

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7749 (LA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1184076630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PLPC
Sole proprietorNo
NPI enumeratedJuly 8, 2016
Last updated in NPPESApril 29, 2022
Certification dateDecember 30, 2020
Mailing address408 John Watley Rd, Natchitoches, LA 71457-7021

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)
Accepts Medicare assignment Not indicated

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