Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205466869 Individual Practitioner Female Practitioner

Mylisa Jackson

Case Manager/Care Coordinator • Lompoc, CA

Professional Overview & Biography Verified Profile Summary

Mylisa Jackson is a registered healthcare professional specializing in Case Manager/Care Coordinator in Lompoc, CA. Practice services are available at 401 E CYPRESS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 E Cypress Ave

Lompoc, CA 934366806

Telephone 8058651940
Associated Practice Facility / Clinic
🏢 Work Training Programs,inc. Facility NPI 1043380090

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Lompoc, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
35 Specialists

Practicing in Lompoc, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-23
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Michelle Wiant

Community Health Worker

NPI 1013552173
Shuriee Gioieni

Marriage & Family Therapist

NPI 1073053229
Stacy Goldsmith

Counselor - Mental Health

NPI 1093988420
Hannah Jorgensen , MFT

Clinic/Center - Adult Mental Health

NPI 1114107372

Marriage and Family Therapist

Julie Reyes , RN

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1225344104

Registered Nurse

Deborah Gutierrez

Counselor - Mental Health

NPI 1235465220

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2020

Registered at 401 E CYPRESS AVE, LOMPOC, CA 934366806 (Tel: 8058651940)

📍
Updated Business Mailing Address January 23, 2020

Registered at 401 E CYPRESS AVE, LOMPOC, CA 934366806 (Tel: 8058651940)

👤
Provider Name / Credentials Updated January 23, 2020

Recorded as MYLISA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2020

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration January 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205466869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2020
Last Update: January 23, 2020
Sole Proprietor: No

Mailing Address

401 E Cypress Ave

Lompoc, CA 934366806

Phone: 8058651940

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.