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MS. CHANDRA ALISA JACKSON MHP
NPI 1164934998
Case Manager/Care Coordinator in Gonzales, LA

Active since November 02, 2017
1058 E WORTHY ST STE B-2, GONZALES, LA 70737(225) 450-3216(225) 450-3799 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2019, Nov 2, 2017 (2 updates tracked since 2017).

About Ms. Chandra Alisa Jackson Mhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CHANDRA ALISA JACKSON MHP (NPI 1164934998) is an individual case manager/care coordinator provider in Gonzales, Louisiana and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1164934998
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMS. CHANDRA ALISA JACKSONCredential: MHP
Location Address1058 E WORTHY ST STE B-2Gonzales, LA 70737-4302
Mailing Address1058 E Worthy St Ste B-2Gonzales, LA 70737-4302 · (225) 450-3216 · Fax (225) 450-3799
Phone(225) 450-3216
Fax(225) 450-3799
Sole ProprietorNo
Enumeration DateNovember 2, 2017
Last NPPES UpdateSeptember 23, 20192 updates tracked since enumeration
✔ NPI 1164934998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
1058 E WORTHY ST STE B-2, Gonzales, LA 70737
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Other Identifiers 1

Medicaid1366981557LA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA VINCENT
Social Worker
1058 E WORTHY ST STE B-2
GONZALES, LA 70737
Ascension Parish (337) 288-0906
INNA MARGARET ROUX
Social Worker
1058 E WORTHY ST STE B-2
GONZALES, LA 70737
Ascension Parish (225) 450-3216
ENHANCE HEALTH CARE SERVICES BEHAVIORAL HEALTH, LLC
Community/Behavioral Health
1058 E WORTHY ST STE B-2
GONZALES, LA 70737
Ascension Parish (225) 450-3216
CANDELARIA M JACKSON
Case Manager/Care Coordinator
1058 E WORTHY ST STE B-2
GONZALES, LA 70737
Ascension Parish (225) 450-3216
DORLISA FOBB
Case Manager/Care Coordinator
1058 E WORTHY ST STE B-2
GONZALES, LA 70737
Ascension Parish (225) 450-3216
MR. WILLIAM LEIGH SMITH
Case Manager/Care Coordinator
1058 E WORTHY ST STE B-2
GONZALES, LA 70737
Ascension Parish (225) 450-3216
SINDY MOSES
Case Manager/Care Coordinator
1058 E WORTHY ST STE B-2
GONZALES, LA 70737
Ascension Parish (225) 450-3216
MRS. JUQUILLA MILLER BATISTE
Homemaker
1058 E WORTHY ST STE B-2
GONZALES, LA 70737
Ascension Parish (225) 450-3216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandra Jackson's NPI number?

The NPI number for Chandra Jackson is 1164934998. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Where is Chandra Jackson located?

Chandra Jackson practices at 1058 E Worthy St Ste B-2, Gonzales, LA 70737. The listed phone number is (225) 450-3216.

What is Chandra Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Chandra Jackson was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.