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

Panelvis Jackson

Individual provider Mental Health Counselor · NPI 1780136663

Panelvis Jackson is a Mental Health Counselor in New Orleans, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

615 Baronne St Ste 403
New Orleans, LA 70113-1019
Phone: (504) 814-8001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (LA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1780136663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2016
Last updated in NPPESAugust 7, 2019

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