Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467996017 Individual Practitioner Female Practitioner

Charla L Jackson

Case Manager/Care Coordinator • Ravenna, OH

Professional Overview & Biography Verified Profile Summary

Charla Jackson is a registered healthcare professional specializing in Case Manager/Care Coordinator in Ravenna, OH. Practice services are available at 4300 LYNN RD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4300 Lynn Rd Ste 201

Ravenna, OH 442667838

Telephone 2162640008
Fax 2342604799
Associated Practice Facility / Clinic
🏢 Ever Well Community Health Facility NPI 1891305157

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Ravenna, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
280 Specialists

Practicing in Ravenna, OH (35490 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: 2023-06-06
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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA164081

Definition to come...

Secondary Practice Locations

601 Cleveland Ave Nw

Canton, OH 447021836

Phone: 3304550374

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ray Torrence

Case Manager/Care Coordinator

NPI 1003589862
Bernadette Randolph

Case Manager/Care Coordinator

NPI 1023992732
Ulonda Matthews

Community/Behavioral Health

NPI 1033716154
Lecia Kiel

Case Manager/Care Coordinator

NPI 1033972138
Deonshai Millender

Case Manager/Care Coordinator

NPI 1033977236
Gwendolyn Salter

Case Manager/Care Coordinator

NPI 1043099054

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location June 06, 2023

Registered at 4300 LYNN RD STE 201, RAVENNA, OH 442667838 (Tel: 2162640008)

📍
Updated Business Mailing Address June 06, 2023

Registered at 4300 LYNN RD STE 201, RAVENNA, OH 442667838 (Tel: 2162640008)

👤
Provider Name / Credentials Updated June 06, 2023

Recorded as CHARLA JACKSON

📍
Updated Practice Location January 24, 2020

Registered at 601 CLEVELAND AVE NW, CANTON, OH 447021836 (Tel: 3304550374)

📍
Updated Practice Location September 26, 2019

Registered at 811 FAIRCREST ST SW, CANTON, OH 447064844 (Tel: 3306394408)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2019

Counselor (License #CDCA164081 in OH)

NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2016

Registered at 1341 MARKET AVE N, CANTON, OH 447142605 (Tel: 3304538252)

📍
Updated Business Mailing Address December 15, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

👤
Provider Name / Credentials Updated December 15, 2016

Recorded as CHARLA FITE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

Counselor (License #CDCA.160555 in OH)

🟢
Initial NPI Registration & Enumeration December 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467996017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2016
Last Update: June 06, 2023
Sole Proprietor: No

Mailing Address

4300 Lynn Rd Ste 201

Ravenna, OH 442667838

Phone: 2162640008

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.