Sanquanita Charnae Jackson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

011332403 Issued in LA

Practice address

1900 N 18TH St
Monroe, LA 71201-4432

Phone

(318) 600-6838

NPI assigned

Apr 25, 2021

Last updated

Dec 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Sanquanita Charnae Jackson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thebridge Family Therapy LLC

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1487021788
  NPD

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1942882345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N 18TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014432",
            "telephone_number": "318-600-6838",
            "fax_number": "318-600-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 18TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014432",
            "telephone_number": "318-600-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SANQUANITA",
        "middle_name": "CHARNAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "011332403",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANQUANITA",
            "last_name": "JACKSON",
            "middle_name": "CHARNAE",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Modeacon Latrell Jackson Sr.
• Myisha Myers Jackson
• Oliver Jackson
• Quinton Jackson
• Raven Jackson
• Shalyse A Jackson
• Shari Jackson
• Shawanda Jackson
• Shemei Jackson
• Stonewall Jackson III

• Case Manager/Care Coordinator in Monroe, LA
• Providers in Monroe, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.