Laportia Jacqueline Jackson, LPC in Little Rock, AR

Laportia Jacqueline Jackson, LPC is a medicare enrolled "Counselor - Professional" provider in Little Rock, Arkansas. Her current practice location is 400 W Capitol Ave, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (323) 205-7088.

Laportia Jacqueline Jackson is licensed to practice in Arkansas (license number P2311008) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881352896.

Contact Information

	Laportia Jacqueline Jackson, LPC
	400 W Capitol Ave, Little Rock, AR 72201-3436
	(323) 205-7088
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laportia Jacqueline Jackson
Gender	Female
Speciality	Counselor - Professional
Location	400 W Capitol Ave, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881352896
Provider Enumeration Date: 12/07/2021
Last Update Date: 09/24/2025

Medicare PECOS Information:

PECOS PAC ID: 9436509841
Enrollment ID: I20231228000040

Medical Identifiers

Medical identifiers for Laportia Jacqueline Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881352896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	AR2108022 (Arkansas)	Secondary
101YP2500X	Counselor - Professional	P2311008 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Laportia Jacqueline Jackson allows following entities to bill medicare on her behalf.

Entity Name	Empowering Mindz Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760252894 PECOS PAC ID: 0143664045 Enrollment ID: O20240220000369

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laportia Jacqueline Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Laportia Jacqueline Jackson, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268	Laportia Jacqueline Jackson, LPC 400 W Capitol Ave, Little Rock, AR 72201-3436 Ph: (323) 205-7088

Reviews and Comments

Counselor in Little Rock, AR

Charlie Simpson Iii, LAMFT, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Shackleford Plz Ste 100, Little Rock, AR 72211 Phone: 501-313-1185
Crystal Ann Mcmullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5918 Lee Ave, Little Rock, AR 72205 Phone: 501-669-2199
Colleen Stone, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Col Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Mrs. Adrienne Reeves, L.P.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-821-5459 Fax: 501-821-6116
David Laser Jr., BS, MBA, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W 65th St, Little Rock, AR 72209 Phone: 479-806-0469
Crystal Goins, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Abigail Campbell, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lile Ct Ste 200, Little Rock, AR 72205 Phone: 479-964-2011

Laportia Jacqueline Jackson, LPC - Medicare Counselor in Little Rock, AR