TIFFANY ANN HENDERSON
TIFFANY ANN JACKSON · Case Manager/Care Coordinator

Address: 12337 Jones Rd Ste 200-12, Houston, TX 77070-4893

TIFFANY ANN HENDERSON (NPI# 1053994079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053994079
Entity Type Individual
Full Name TIFFANY ANN HENDERSON
Other Name MRS. TIFFANY ANN JACKSON (Other Name)
Gender Female
Credential MED
Other Credential MED
Practice Address 12337 Jones Rd Ste 200-12
Houston
TX 77070-4893
Practice Telephone 9033454545
Mailing Address 4219 Orange Grove Dr
Houston
TX 77039-6313
Mailing Telephone 8324705888
Certification Date 2021-04-29
Enumeration Date 2021-04-29
Last Update Date 2021-04-29
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 171M00000X Case Manager/Care Coordinator 193400000X SINGLE SPECIALTY GROUP Other Service Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address tjackson@mentalhealthresource.org (Direct Work) 12337 Jones Rd Ste 200-12, Houston, TX 770704893 Direct Other Direct Email

Office Location

Street Address 12337 JONES RD STE 200-12
City HOUSTON
State TX
Zip Code 77070-4893

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396310868 John Odom Case Manager/Care Coordinator 12337 Jones Rd Ste 200-12, Houston, TX 77070-4893 2021-05-26
1255914073 Tam Pham Case Manager/Care Coordinator 12337 Jones Rd Ste 200-12, Houston, TX 77070-4893 2021-04-29

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1467945865 Pure G Kids, LLC · Pure G Kids Wellness Pediatrics 21175 Tomball Pkwy Ste 379, Houston, TX 77070 2018-06-11
1790359776 Miranda Lynn Zimmerman Specialist/Technologist - Athletic Trainer 13082 Centerfield Drive, Suite 200, Houston, TX 77070 2021-05-14
1154803518 Geraldine Santillan Villanueva Physical Therapist 13220 Breton Ridge St., Houston, TX 77070 2018-09-02
1871113837 Carolyn Hong Nguyen Radiology - Diagnostic Ultrasound 18220 Tx 249, Houston, TX 77070 2020-04-20
1124669866 Endocrine Diabetes and Thyroid Specialists of Houston Pllc Internal Medicine - Endocrinology, Diabetes & Metabolism 18220 Texas 249 Access Rd, Houston, TX 77070 2019-10-03
1154703809 Lauren Ross Dietitian, Registered 11445 Compaq Center West Dr, Cca5 Hp Houston Health Center, Houston, TX 77070 2015-06-18
1356962666 Polyanna De La Garza Optometrist Pllc Optometrist 22438 Tomball Parkway, Houston, TX 77070 2020-04-28
1376053272 Rebeccah I Raymond · Rebeccah Nyawirah Irungu Occupational Therapist 13220 Breton Ridge Street, Houston, TX 77070 2017-10-05
1831645183 Nikhat Siddiqi Internal Medicine 13323 Dotson Road, Suite 100, Houston, TX 77070 2016-08-28
1386164382 Seraphim Medical Supplies Technician/Technologist 10330 Lake Road Suite E, Houston, TX 77070 2017-06-21
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639753080 Alsce Gregory Crocker Case Manager/Care Coordinator 1818 Fannin Speedway Apt 3102, Houston, TX 77045-5059 2021-05-11
1245814029 Hope Rigby-Wills Case Manager/Care Coordinator 2925 Richmond Ave Ste 1223, Houston, TX 77098-3130 2021-05-08
1770161697 Daisha D Curry Case Manager/Care Coordinator 2851 Wallingford Dr, Houston, TX 77042-3467 2021-03-31
1013593102 Jaime Leigh Rodriguez Case Manager/Care Coordinator 7334 Log Cradle Dr, Houston, TX 77041-1721 2021-03-20
1508451899 Clarissa Renae Sweet Case Manager/Care Coordinator 6807 Leedale St, Houston, TX 77016-2207 2021-03-08
1124610951 Ebony Blaylock Case Manager/Care Coordinator 13700 Veterans Memorial Dr Ste 450, Houston, TX 77014-1034 2021-02-03
1942891890 Second Start Home Care, LLC · Second Start Home Care, LLC Case Manager/Care Coordinator 6201 Bonhomme Rd Ste 362n, Houston, TX 77036-4424 2021-02-02
1508462284 Rhemy C Forte' Case Manager/Care Coordinator 3448 Coyle St Apt 3402, Houston, TX 77003-5442 2020-12-08
1154925246 Corey Jamal Sterling Case Manager/Care Coordinator 510 Avenue of Oaks St, Houston, TX 77009-1949 2020-11-30
1396349239 Chyecaria Evans Case Manager/Care Coordinator 7437 Crofton St, Houston, TX 77028-1709 2020-11-22
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.