HENDERSON JACKSON JR.
NPI 1144647595
Case Manager/Care Coordinator in Farmington, NM

NPI Status: Active since March 24, 2014

Contact Information

807 W APACHE ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 325-5358
Fax: (505) 327-1482

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  • Individual
  • Male
  • Case Manager/Care Coordinator

About HENDERSON JACKSON

This page provides the complete NPI Profile along with additional information for Henderson Jackson, a provider established in Farmington, New Mexico with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1144647595 assigned on March 2014. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1144647595
Provider Name
HENDERSON JACKSON JR.
Other Name
JUNIOR JACKSON
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
807 W APACHE ST FARMINGTON, NM 87401
Location Phone
(505) 325-5358
Location Fax
(505) 327-1482
Mailing Address
807 W APACHE ST FARMINGTON, NM 87401
Mailing Phone
(505) 325-5358
Mailing Fax
(505) 327-1482
Is Sole Proprietor?
No
Enumeration Date
03-24-2014
Last Update Date
03-24-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144647595
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218412414518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 2 + 4 + 1 + 4 + 5 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1144647595 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KATRINA CAMPBELL

Social Worker

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

CONNIE HOLLAR BA

Social Worker

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

AVERIL MAUELITO LEE BA

Social Worker

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MS. BERNADETTE MARTINEZ

Behavior Analyst

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MS. STACIA SAKYA

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MS. ANGELA GRUBBS

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MR. JAMES ENGLE

Social Worker

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MS. ARLENE LEE

Social Worker

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MS. PAMELA L BEGAY LMSW

Counselor

(Mental Health)

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MS. KRISTEN ESTHER LOVE

Counselor

(Mental Health)

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MS. KESHIA KATRICE BEYALE

Social Worker

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

MS. TAMI SPELLBRING

Counselor

(Mental Health)

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

JANICE A DAVIS

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

LAURA MARQUEZ

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

HEATHER C YAZZIE

Social Worker

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

DAWN L NASH

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

ANTHONY C ASKEW

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

PATTY A MANUELITO

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

BRUNHILDA G YAZZIE

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

PAULA JIMSON

Case Manager/Care Coordinator

807 W APACHE ST
FARMINGTON, NM
ZIP 87401

(505) 325-5358

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144647595, enumerated as an "individual" on March 24, 2014.

The provider is located at 807 W APACHE ST FARMINGTON, NM 87401 and the phone number is (505) 325-5358.

Case Manager/Care Coordinator with taxonomy code 171M00000X.