IndividualActive
Takelia Jackson
NPI 1114528957 · Professional Counselor · Smyrna, GA
Takelia Jackson is a Professional Counselor provider in Smyrna, GA (NPI 1114528957).
Provider details
- NPI number
- 1114528957
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPC011682 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2875 Spring Villa Ln Se
Smyrna, GA 30080-3644
Phone: (678) 592-1680
Street-level locationGet directions
Mailing address
2875 Spring Villa Ln Se
Smyrna, GA 30080-3644
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2021-08-13
- Certified
- 2021-08-13
Frequently asked questions
- What is Takelia Jackson's NPI number?
- Takelia Jackson's National Provider Identifier (NPI) is 1114528957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Takelia Jackson's specialty?
- Takelia Jackson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Takelia Jackson located?
- Takelia Jackson's practice location on file with NPPES is 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644.
- What is Takelia Jackson's phone number?
- The practice phone number listed in the NPPES registry for Takelia Jackson is (678) 592-1680.
- Is Takelia Jackson's NPI active?
- Yes — Takelia Jackson's NPI (1114528957) is active in the NPPES registry as of the last update on 2021-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.