IndividualActive
Dijuan Jackson
NPI 1477159408 · Mental Health Counselor · Shreveport, LA
Dijuan Jackson is a Mental Health Counselor provider in Shreveport, LA (NPI 1477159408).
Provider details
- NPI number
- 1477159408
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 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
83% 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
631 Milam St Ste 103
Shreveport, LA 71101-3534
Phone: (318) 658-0069
Street-level locationGet directions
Mailing address
1 Tiger Dr
Marshall, TX 75670-1412
Registry dates
- Enumerated
- 2020-12-06
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Dijuan Jackson's NPI number?
- Dijuan Jackson's National Provider Identifier (NPI) is 1477159408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dijuan Jackson's specialty?
- Dijuan Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Dijuan Jackson located?
- Dijuan Jackson's practice location on file with NPPES is 631 Milam St Ste 103, Shreveport, LA 71101-3534.
- What is Dijuan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Dijuan Jackson is (318) 658-0069.
- Is Dijuan Jackson's NPI active?
- Yes — Dijuan Jackson's NPI (1477159408) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.