REGINALD COURTNEY JACKSON (NPI# 1396236410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396236410 |
| Entity Type | Individual |
| Full Name | REGINALD COURTNEY JACKSON |
| Practice Address |
1302 Waugh Dr # 834 Houston TX 77019-3908 |
| Practice Telephone | 8325885467 |
| Mailing Telephone | 8325885467 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530104 | Reginald P Jackson | Social Worker | 4081 Southwick Drive, 3rd Floor, Matteson, IL 60443-6044 | 2020-05-22 |
| 1295891562 | Reginald Jackson | Counselor | 7425 Edward St, New Orleans, LA 70126-2013 | 2006-12-29 |
| 1619505021 | Reginald Jackson | Behavior Technician | 3000 Latrobe Dr, Charlotte, NC 28211-5226 | 2020-03-31 |
| 1932517695 | Reginald Jackson | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2014-07-25 |
| 1750618336 | Reginald Christopher Jackson | Social Worker | 901 Kentucky St Ste 306, Lawrence, KS 66044-2858 | 2009-11-03 |
| 1154427615 | Reginald Roberts Jackson | Internal Medicine | 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309 | 2006-09-15 |
| Street Address |
1302 WAUGH DR # 834 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77019-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337802 | Phong Vo | Social Worker | 1501 Crocker Street, Suite Two, Houston, TX 77019 | 2020-02-08 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1619445368 | Comfort Bosede Sofayo | Nurse Practitioner | 2506 Kingston St, Apt 2, Houston, TX 77019 | 2018-11-09 |
| 1659866366 | Dena Furman | Dietitian, Registered | 2221 W Dallas St Apt 381, Houston, TX 77019 | 2018-06-25 |
| 1255844494 | Kandi Denise Gamble | Licensed Practical Nurse | 1900 West Gray St, 130732, Houston, TX 77019 | 2017-11-09 |
| 1437668217 | Lawanda Hill | Psychologist | 2514 Kingston Street, Unit One, Houston, TX 77019 | 2017-09-25 |
| 1841715034 | The Vitalus Group LLC | Clinical Medical Laboratory | 2727 Allen Parkway Suite 1915, Houston, TX 77019 | 2017-08-08 |
| 1952825960 | Krista Bryla | Dietitian, Registered | 2027 Woodhead St, Houston, TX 77019 | 2017-08-01 |
| 1770015745 | George Ross Malik | Physical Medicine & Rehabilitation | 1005 S Shepherd Dr, Apt 412, Houston, TX 77019 | 2017-03-29 |
| 1437601390 | Montrose Eye Care, Pllc | Optometrist | 520 Waugh Dr, Houston, TX 77019 | 2016-10-26 |
| Find all providers in zip 77019 | ||||
| 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 |
|---|---|---|---|---|
| 1881216752 | Mental Health Care Solutions LLC | Case Manager/Care Coordinator | 2040 North Loop W Ste 370, Houston, TX 77018-8140 | 2020-05-13 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1013538677 | Porshia D Coleman | Case Manager/Care Coordinator | 350 N Sam Houston Pkwy E Ste 238, Houston, TX 77060-3320 | 2020-05-05 |
| 1659907129 | Debrilya Williams | Case Manager/Care Coordinator | 2500 E T C Jester Blvd Ste 178, Houston, TX 77008-1449 | 2020-03-17 |
| 1720611387 | Paula Free | Case Manager/Care Coordinator | 2828 Bammel Ln Apt 811, Houston, TX 77098-1146 | 2020-02-21 |
| 1922639335 | Light House Case Management | Case Manager/Care Coordinator | 14510 Gable Mountain Cir, Houston, TX 77090-2333 | 2020-02-04 |
| 1881224004 | Allyson Buckner | Case Manager/Care Coordinator | 7373 Ardmore St Apt 1286, Houston, TX 77054-4223 | 2020-01-16 |
| 1861030090 | Jairus Demond Scott | Case Manager/Care Coordinator | 12526 Greencanyon Dr, Houston, TX 77044-7247 | 2019-12-18 |
| 1912544248 | Faith Lyons | Case Manager/Care Coordinator | 3131 West Loop S Apt 463, Houston, TX 77027-6135 | 2019-12-05 |
| 1699323071 | Katina Young | Case Manager/Care Coordinator | 2219 Greenhouse Rd Apt 1304, Houston, TX 77084-7329 | 2019-08-29 |
| Find all providers in HOUSTON | ||||
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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.