Champion Mindset, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHAMPION MINDSET, LLC

Practice address

352 Terrace Hill Dr
Jonesboro, LA 71251-3031

Phone

(318) 239-9269

NPI assigned

Sep 3, 2024

Last updated

Dec 31, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jhazzman M Ellis, LCSWNPI 1639812563

Title

Owner

Phone

(318) 497-0846

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jhazzman Ellis, LCSW

  • Clinical Social Worker
  • Jonesboro, LA
  • NPI 1639812563
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1144055054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 TERRACE HILL DR",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712513031",
            "telephone_number": "318-239-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 TERRACE HILL DR",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712513031",
            "telephone_number": "318-239-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION MINDSET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JHAZZMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-497-0846",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Calahan
• Sierra Calahan
• Madonna Caldwell, M.A. CCC/SLP
• Brandon Loyce Carroll, MD
• Jeremy Cathey, APRN, FNP
• Melanie Chandler, MS, RD, CDCES
• Jessica Clement
• Melinda Clinton
• Lakayci Markia Cooks
• Billy Cothran Jr.

• Clinical Social Worker in Jonesboro, LA
• Providers in Jonesboro, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.