Jackson Hands of Change

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JACKSON HANDS OF CHANGE

Practice address

4035 Washington Ave
New Orleans, LA 70125-2935

Phone

(618) 623-9771

Fax

(877) 250-2283

NPI assigned

Sep 20, 2016

Organization subpart

Yes

Parent organization

JACKSON HANDS OF CHANGEAs reported in NPPES

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

Authorized official

Name

Dreatha Jean Jackson, LPS-S, NCCNPI 1801963483

Title

Ceo

Phone

(618) 623-9771

Specialties & licenses 2

Addresses

Other names 1

• Community Mental Health Clinic Other name

Part of

Jackson Hands of Change

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dreatha Jean Jackson, MA, LPC, NCC

  • Professional Counselor
  • New Orleans, LA
  • NPI 1801963483
  NPD Authorized official

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1306394234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 EVANGELINE ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014415",
            "telephone_number": "618-623-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 WASHINGTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701252935",
            "telephone_number": "618-623-9771",
            "fax_number": "877-250-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HANDS OF CHANGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON HANDS OF CHANGE",
        "enumeration_date": "2016-09-20",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DREATHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-623-9771",
        "authorized_official_credential": "LPS-S, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Mental Health Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Community Mental Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vivian R Jaber, MD, PHD
• Mandrell Montel Jack
• Trinese Jack
• Jackson Education and Counseling Services
• Jackson Group
• Tamara Jackson-Snowden, MSW, LCSW,MBA, CA
• Maga E Jackson-Triche, M.D.
• Amanda Ann Brown Jackson, MD
• Ami Rynae Jackson, CRNP
• Breonka Marie Jackson

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.