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Modeacon Jackson
NPI 1891208823 · Mental Health Counselor · Monroe, LA
Modeacon Jackson is a Mental Health Counselor provider in Monroe, LA (NPI 1891208823).
Provider details
- NPI number
- 1891208823
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1702 Bernstein Park Rd
Monroe, LA 71202-5502
Phone: (318) 331-3440
Street-level locationGet directions
Mailing address
1702 Bernstein Park Rd
Monroe, LA 71202-5502
Additional practice locations (1)
- 1702 Bernstein Park RdMonroe, LA 71202-5502Phone: (318) 331-3440
Registry dates
- Enumerated
- 2017-11-13
- Last updated
- 2018-03-17
Frequently asked questions
- What is Modeacon Jackson's NPI number?
- Modeacon Jackson's National Provider Identifier (NPI) is 1891208823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Modeacon Jackson's specialty?
- Modeacon Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Modeacon Jackson located?
- Modeacon Jackson's practice location on file with NPPES is 1702 Bernstein Park Rd, Monroe, LA 71202-5502.
- What is Modeacon Jackson's phone number?
- The practice phone number listed in the NPPES registry for Modeacon Jackson is (318) 331-3440.
- Is Modeacon Jackson's NPI active?
- Yes — Modeacon Jackson's NPI (1891208823) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.