RACHEL JACOBS (NPI# 1154724250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154724250 |
| Entity Type | Individual |
| Full Name | RACHEL JACOBS |
| Credential | CPSS |
| Practice Address |
24424 W Mcnichols Rd Detroit MI 48219-3653 |
| Practice Telephone | 3132550900 |
| Practice Fax Number | 3132551795 |
| Mailing Telephone | 3132550900 |
| Mailing Fax Number | 3132551795 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749936 | Rachel Lee Jacobs | Technician | 1601 S Garey Ave Spc 123, Pomona, CA 91766-5267 | 2019-09-19 |
| 1801124045 | Rachel H Jacobs | Psychologist | 561 W Diversey Pkwy Ste 210a, Chicago, IL 60614-1682 | 2009-11-30 |
| 1326656497 | Rachel Jacobs | Counselor | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2020-07-15 |
| 1750900460 | Rachel Caroline Jacobs | Student in an Organized Health Care Education/Training Program | 200 Lothrop St Ste B-400, Pittsburgh, PA 15213-2536 | 2020-04-13 |
| 1902360316 | Rachel Jacobs | Counselor | 500 N West St, Doylestown, PA 18901-2366 | 2019-01-30 |
| 1801314992 | Rachel Lauren Jacobs | Social Worker | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2017-09-08 |
| 1346673589 | Rachel Dupont Jacobs | Physical Therapist | 389 Highway 21, Suite 403, Madisonville, LA 70447-3441 | 2013-08-12 |
| 1508141789 | Rachel Jacobs | Counselor | 51 W 51st St, Suite 301, New York, NY 10019-6113 | 2011-10-19 |
| 1174847297 | Rachel King Jacobs | Massage Therapist | 74 Long Pond Rd, Suite 1 C, Plymouth, MA 02360-2605 | 2010-03-18 |
| 1982744892 | Rachel E Jacobs | Social Worker | 2220 Young Dr, Lexington, KY 40505-4219 | 2007-02-08 |
| Street Address |
24424 W MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326135047 | Development Centers, Inc. | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219 | 2006-10-06 |
| 1083229249 | Catrina Tookes | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-09-14 |
| 1770198970 | Wanda Mitchell | Voluntary or Charitable | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-09-14 |
| 1295351161 | Anna Marie Mier | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-06-17 |
| 1275165797 | Tenna Ramona Harris | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-02-12 |
| 1780232835 | Jamie Lee Ann Douglas | Psychologist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-09-02 |
| 1306491824 | Stacy Lynette Saylor | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-08-02 |
| 1821561960 | Henry Lee Hampton | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-01-10 |
| 1982174710 | Claude Ray Winton II | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2018-12-05 |
| 1164904009 | Sarah Mcintire | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1790331536 | Bridgett Darcell Scott | Peer Specialist | 1121 E 6 Mile Rd, Detroit, MI 48203-2857 | 2019-08-16 |
| 1932669827 | Donald Brown | Peer Specialist | 18582 Goddard St, Detroit, MI 48234-1319 | 2019-03-25 |
| 1710463880 | Felicia Greene | Peer Specialist | 3542 Fairview St, Detroit, MI 48214-3539 | 2018-07-12 |
| 1033603998 | Tonya Patrice Miller-cherry | Peer Specialist | 1423 Field St # 5, Detroit, MI 48214-2321 | 2018-06-14 |
| 1831612662 | Heidi L Brinkley | Peer Specialist | 5575 Conner St Ste 204b, Detroit, MI 48213-6401 | 2017-07-24 |
| 1588067383 | Katrina Baldwin | Peer Specialist | 11668 Montrose St, Detroit, MI 48227-1758 | 2014-10-07 |
| 1700498771 | Darryl Angelo Walker | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-08-20 |
| 1487266441 | Jeremiah Spears Jr. | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
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| 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.