Active NPI
Donna Marie Jackson
- Case Manager/Care Coordinator
- New Orleans, LA
National Provider Identifier
1477797009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 8080 Crowder Blvd Ste E
New Orleans, LA 70127-1077 - Phone
- (504) 823-4989
- Fax
- (504) 831-7712
- NPI assigned
- Apr 27, 2009
- Last updated
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LA | ||
| Case Manager/Care Coordinator | 171M00000X | LA | Primary |
Addresses
Primary practice location
8080 Crowder Blvd Ste E
New Orleans, LA 70127-1077
Mailing address
PO Box 7792
Metairie, LA 70010-7792
Phone (504) 944-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amethyst & Associates LLC | Current | Accepting new patients | |
| Reaching for Succes Counseling Service | Past | Accepting new patients | |
| Reaching for Success Xounseling Service | Past | Accepting new patients |
Locations
8080 Crowder Blvd
Ste E
New Orleans, LA 70127
Phone (504) 514-1247
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Reaching for Success
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1265052476
-
- Durable Medical Equipment & Medical Supplies
- Metairie, LA
- NPI 1720328164
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1487973046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1477797009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7792",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700107792",
"telephone_number": "504-944-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 CROWDER BLVD STE E",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701271077",
"telephone_number": "504-823-4989",
"fax_number": "504-831-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DONNA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.