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MYLISA JACKSON
NPI 1205466869
Case Manager/Care Coordinator in Lompoc, CA

Active since January 23, 2020
401 E CYPRESS AVE, LOMPOC, CA 93436(805) 865-1940 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mylisa Jackson NPPES

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

MYLISA JACKSON (NPI 1205466869) is an individual case manager/care coordinator provider in Lompoc, California and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1205466869
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMYLISA JACKSON
Location Address401 E CYPRESS AVELompoc, CA 93436-6806
Mailing Address401 E Cypress AveLompoc, CA 93436-6806 · (805) 865-1940
Phone(805) 865-1940
Sole ProprietorNo
Enumeration DateJanuary 23, 2020
✔ NPI 1205466869 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.
401 E CYPRESS AVE, Lompoc, CA 93436
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Other Names 1

Former Name (1)Mylisa Goodman

Other Providers at the Same Location NPPES 20

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

MR. DANNY MICHAEL TAKAOKA
Day Training/Habilitation Specialist
401 E CYPRESS AVE
LOMPOC, CA 93436
Santa Barbara County (805) 315-5398
MRS. MICHELLE GABRIELLE WIANT
Community Health Worker
401 E CYPRESS AVE
LOMPOC, CA 93436
Santa Barbara County (805) 865-1940
WORK TRAINING PROGRAMS,INC.
Social Worker
401 E CYPRESS AVE
LOMPOC, CA 93436
Santa Barbara County (805) 737-7718
SHURIEE GIOIENI
Marriage & Family Therapist
401 E CYPRESS AVE
LOMPOC, CA 93436
Santa Barbara County (805) 865-1940
ROBERT WARREN KIRSCH
Counselor (Mental Health)
401 E CYPRESS AVE, PATHPOINT LOMPOC LIFE SKILLS
LOMPOC, CA 93436
Santa Barbara County (805) 737-7718
MR. JON AMATE M.F.T.
Marriage & Family Therapist
401 E CYPRESS AVE, 2ND FLOOR
LOMPOC, CA 93436
Santa Barbara County (805) 737-7715
MARIBEL LANDEROS
Day Training/Habilitation Specialist
401 E CYPRESS AVE
LOMPOC, CA 93436
Santa Barbara County (805) 319-8335
MR. RAFAEL VALDOVINOS ACSW126737
Social Worker
401 E CYPRESS AVE
LOMPOC, CA 93436
Santa Barbara County (805) 737-6690

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 Mylisa Jackson's NPI number?

The NPI number for Mylisa Jackson is 1205466869. It was assigned to this individual provider in the NPPES registry on January 23, 2020. The provider is also known as Mylisa Goodman.

Where is Mylisa Jackson located?

Mylisa Jackson practices at 401 E Cypress Ave, Lompoc, CA 93436. The listed phone number is (805) 865-1940.

What is Mylisa 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 Mylisa Jackson was last updated on January 23, 2020. 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.