Mylisa Jackson

Mylisa Jackson is a Case Manager/Care Coordinator provider (Case Manager/Care Coordinator) practicing in Lompoc, CA, registered in the NPPES registry with NPI 1205466869 since 2020.

✓ Active NPI ✓ Valid NPI checksum

NPI	1205466869
Entity type	Individual (Type 1)
Name	Mylisa Jackson
Sex	Female
Practice address	401 E CYPRESS AVE, Lompoc, CA, 93436
Phone	8058651940
Enumeration date	2020-01-23
Last updated in NPPES	2020-01-23

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
171M00000X	Case Manager/Care Coordinator	Primary	—	CA

Copy-ready billing details

Provider: Mylisa Jackson
NPI: 1205466869
Taxonomy: 171M00000X (Case Manager/Care Coordinator)
Address: 401 E CYPRESS AVE, Lompoc, CA, 93436

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1760552855	Richard Collett	Individual	Marriage & Family Therapist	Lompoc, CA
1043380090	Work Training Programs,Inc.	Organization	Social Worker	Lompoc, CA
1952471906	Wtp Inc	Organization	Social Worker	Lompoc, CA
1578633475	Charles Zimmer	Individual	Psychologist	Lompoc, CA
1477623064	Arthur Dossey	Individual	Clinical Social Worker	Lompoc, CA
1922170562	Hadisha Person	Individual	Marriage & Family Therapist	Lompoc, CA
1891868782	Nemesio Balcena	Individual	Case Manager/Care Coordinator	Lompoc, CA
1164595393	Jon Amate	Individual	Marriage & Family Therapist	Lompoc, CA

Verify this record

Cross-check NPI 1205466869 against the authoritative CMS record: view Mylisa Jackson on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Mylisa Jackson?

Mylisa Jackson is registered in NPPES with the primary taxonomy of Case Manager/Care Coordinator. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-01-23.