ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES (NPI# 1265560767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265560767 |
| Entity Type | Organization |
| Organization Name | ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES |
| Other Organization Name | ACCESS |
| Practice Address |
1011 College Ave Jacksonville TX 75766 |
| Mailing Address |
5656 N Jackson St Jacksonville TX 75766-9641 |
| Practice Telephone | 9035899000 |
| Practice Fax Number | 9035869200 |
| Mailing Telephone | 9035899000 |
| Mailing Fax Number | 9035869200 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | DIANNA STROM (REIMBURSEMENT COORDINATOR) |
| Authorized Official Telephone | 9035899000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 14498 | TX | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 17029 | TX | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 12741 | TX | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 096107001 | 05 |
| Other Name | Type Code |
|---|---|
| ACCESS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558563197 | Anderson Cherokee Community Enrichment Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
| 1124056585 | Anderson Cherokee Community Enrichment Services | Intermediate Care Facility, Mentally Retarded | 803 Sharon St, Rusk, TX 75785 | 2006-06-28 |
| 1750318333 | Anderson Cherokee Community Enrichment Services | Intermediate Care Facility, Mentally Retarded | 619 East Fourth, Rusk, TX 75785 | 2006-06-27 |
| 1821092677 | Anderson Cherokee Community Enrichment Services | Psychologist | 913 N Jackson St, Jacksonville, TX 75766-3801 | 2005-06-09 |
| 1780001503 | Anderson Cherokee Community Enrichment Services | Clinic/Center | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2014-03-19 |
| 1457553091 | Anderson Cherokee Community Enrichment Services | Day Training, Developmentally Disabled Services | 5656 North Jackson, Jacksonville, TX 75766-9641 | 2007-06-05 |
| 1710015201 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1538297023 | Anderson Cherokee Community Enrichment Services | Case Management | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| 1447388939 | Anderson Cherokee Community Enrichment Services | Case Manager/Care Coordinator | 1011 College Ave, Jacksonville, TX 75766-3307 | 2007-02-28 |
| 1154325645 | Anderson Cherokee Community Enrichment Services | Psychologist | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-13 |
| Street Address |
1011 COLLEGE AVE |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707882 | Emily Fisher | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2020-10-13 |
| 1336773613 | Joyce Loretta Caldwell | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2020-02-26 |
| 1710540562 | Dennis Raymond Steelman | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2019-04-17 |
| 1104399047 | Donna K Daigle-thomas | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2019-01-03 |
| 1245710227 | Donna Lee Faulkner | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2018-08-18 |
| 1255822151 | Mabel N. Nwachukwu | Nurse Practitioner | 1011 College Ave, Jacksonville, TX 75766-3307 | 2018-05-25 |
| 1710412838 | Sarah E Tunnell | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2017-04-26 |
| 1467835090 | Kaila Sue Rice | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2015-07-01 |
| 1922244904 | Roxanne D. Dudley | Counselor | 1011 College Ave, Jacksonville, TX 75766-3307 | 2008-12-23 |
| 1710015201 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1881776912 | Mark Allan Thompson | Dentist | 701 S Main, Jacksonville, TX 75766 | 2006-10-19 |
| Find all providers in zip 75766 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1235757493 | Terena D Hoover | Case Manager/Care Coordinator | 731 Duval Station Rd Ste 107-257, Jacksonville, FL 32218-0800 | 2020-07-13 |
| 1255955514 | Shan Lowry | Case Manager/Care Coordinator | 1007 Tortoise Way, Jacksonville, FL 32218-7635 | 2020-06-02 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1780228510 | Equeisha Jones | Case Manager/Care Coordinator | 1006 N Liberty St, Jacksonville, FL 32206-5631 | 2019-11-05 |
| 1447801865 | Sydney Broussard | Case Manager/Care Coordinator | 3544 Saint Johns Bluff Rd S Apt 922, Jacksonville, FL 32224-2674 | 2019-09-26 |
| 1558928291 | Sherri Mason | Case Manager/Care Coordinator | 8005 Renault Dr, Jacksonville, FL 32244-1325 | 2019-05-28 |
| 1760951438 | Tashera Muray Nielsen | Case Manager/Care Coordinator | 7925 Merrill Rd Apt 2809, Jacksonville, FL 32277-6544 | 2018-11-24 |
| 1588147110 | Patricia Ceasar Pitts | Case Manager/Care Coordinator | 13764 Chipperfield Ln, Jacksonville, FL 32226-5832 | 2018-09-10 |
| 1447738307 | Pamela R Wright | Case Manager/Care Coordinator | 10955 Sterling Silver Ct, Jacksonville, FL 32218-7342 | 2018-08-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
Please comment or provide details below to improve the information on ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES.
| 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.