IndividualActive
Shakiatra Jackson
NPI 1558022368 · Mental Health Counselor · Columbus, GA
Provider details
- NPI number
- 1558022368
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1727 Boxwood Pl
Columbus, GA 31906-2328
Phone: (706) 569-0727
Street-level locationGet directions
Mailing address
1110 13th St # D
Columbus, GA 31901-2246
Registry dates
- Enumerated
- 2022-01-04
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.