Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Keandrea Jackson, M.A.

Mental Health Counselor in Jackson, MS · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639353592

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Registry record

Entity type Individual (Type 1)

Name Keandrea Jackson

Credential M.A.

Sex Female

Practice address 4780 I 55 N Ste 105, Jackson, MS, 39211

Phone (601) 956-4816

Fax (601) 956-4817

Enumeration date Dec 27, 2007

Last updated in NPPES Jul 9, 2021

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary

Other identifiers

Identifier	Type	State	Issuer
01670076	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Keandrea Jackson's NPI record?

Cross-check NPI 1639353592 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1639353592 active?

Yes, as of the latest NPPES snapshot, NPI 1639353592 is active (record last updated 2021-07-09).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-09.