Detra L Jackson

• Community Health Worker Primary
  Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language,...
  taxonomy 172V00000X
• Community Based Residential Treatment Facility, Mental Illness
  A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
  taxonomy 320800000X
• Community/Behavioral Health
  A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
  taxonomy 251S00000X
• Custodial Care Facility
  A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
  taxonomy 311ZA0620X
• Driver
  A person employed to operate a motor vehicle as a carrier of persons or property.
  taxonomy 172A00000X
• Intermediate Care Facility, Intellectual Disabilities
  An intermediate care facility providing services for individuals with intellectual disabilities.
  taxonomy 315P00000X

Solo or small practice. No other active providers share this practice address in NPPES.

1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.