JACKSON HANDS OF CHANGE (NPI# 1306394234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306394234 |
| Entity Type | Organization |
| Organization Name | JACKSON HANDS OF CHANGE |
| Other Organization Name | COMMUNITY MENTAL HEALTH CLINIC |
| Practice Address |
4807 Evangeline St Metairie LA 70001-4415 |
| Practice Telephone | 6186239771 |
| Mailing Telephone | 6186239771 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | DREATHA JEANA JACKSON (EXEC DIRECTOR) |
| Authorized Official Telephone | 6186239771 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | JACKSON HANDS OF CHANGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LA | Agencies |
| Other Name | Type Code |
|---|---|
| Community Mental Health Clinic | Other Name - Individual/Organization |
| Street Address |
4807 EVANGELINE ST |
| City | METAIRIE |
| State | LA |
| Zip Code | 70001-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573361 | Maria Ann Sands | Social Worker | 2301 Edenborn Avenue, Unit 1002, Metairie, LA 70001 | 2020-06-17 |
| 1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
| 1295384709 | Lotus Counseling Center | Counselor | 1 Galleria Blvd, Ste 1900, #1903, Metairie, LA 70001 | 2019-09-06 |
| 1255812160 | Keyota Andrea Russell | Non-emergency Medical Transport (VAN) | 2408 Houma Blvd Apt 315, Metairie, LA 70001 | 2018-08-28 |
| 1184116204 | Benjamin Guidry Md, LLC | Ophthalmology | 4720 S I 10 Service Rd W Ste 410, Metairie, LA 70001 | 2018-06-04 |
| 1700382207 | Kalah Mackenzie Arnett | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-04-03 |
| 1396240974 | Saba Farooq | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-03-27 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1023527165 | Jessica Jones | Social Worker | 3616 South I-10 Service Road W, Metairie, LA 70001 | 2017-09-20 |
| 1033633979 | Priscilla Williams | Counselor | 2325 Pasadena Ave, Apt. K, Metairie, LA 70001 | 2017-08-02 |
| Find all providers in zip 70001 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075786 | First Hope Christian Ministries | Community/Behavioral Health | 3500 N Hullen St Ste 230, Metairie, LA 70002-3420 | 2018-12-19 |
| 1225524952 | Community Care Youth and Family Center | Community/Behavioral Health | 2405 Camelot Ct, Metairie, LA 70001-1712 | 2018-07-05 |
| 1629595848 | Aalpha Resources, LLC | Community/Behavioral Health | 3925 N I 10 Service Rd W Ste 223, Metairie, LA 70002-6858 | 2017-08-28 |
| 1316469745 | Cura Personalis Support Services, LLC | Community/Behavioral Health | 3005 Harvard Ave Ste 101, Metairie, LA 70006-6400 | 2017-07-07 |
| 1588191852 | Blue Bird Social Services | Community/Behavioral Health | 2601 N Hullen St Ste 134, Metairie, LA 70002-5940 | 2017-05-17 |
| 1912386640 | Nola, Pride-wfh LLC | Community/Behavioral Health | 700 Phosphor Ave, Suite C, Metairie, LA 70005 | 2015-05-27 |
| 1922493410 | Anthony E Seamster, Lpc Ncc LLC Hour Place | Community/Behavioral Health | 3945 N I 10 Service Rd W, Metairie, LA 70002-6880 | 2015-04-01 |
| 1952703464 | Louisiana Youth Connect, LLC | Community/Behavioral Health | 2401 Division St, Suite D7, Metairie, LA 70001-1820 | 2014-09-16 |
| 1740611136 | Infinite Solutions for Mental Wellness | Community/Behavioral Health | 3900 N Causeway Blvd Ste 1232, Metairie, LA 70002-1746 | 2013-12-10 |
| 1770911109 | Lei Behavioral Services LLC | Community/Behavioral Health | 4300 S. I-10 Servive Road, 215, Metairie, LA 70001 | 2013-10-22 |
| Find all providers in METAIRIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.