KAREN JACKSON (NPI# 1417402603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417402603 |
| Entity Type | Individual |
| Full Name | KAREN JACKSON |
| Practice Address |
6564 Crescent Grn West Bloomfield MI 48322-1323 |
| Practice Telephone | 3136953469 |
| Mailing Telephone | 3136953469 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401015668 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720550775 | Karen Jackson | Clinic/Center | 104 Taggart Dr, Steens, MS 39766-9563 | 2018-12-31 |
| 1083095889 | Karen Jackson | Developmental Therapist | 4825 Paris Ave, Jacksonville, FL 32209-3052 | 2015-06-17 |
| 1982084380 | Karen Jackson | Behavioral Analyst | 18842 120th Rd, Saint Albans, NY 11412-3617 | 2015-06-02 |
| 1780955864 | Karen P. Jackson | Social Worker | 1105 Terminal Way Ste 202, Reno, NV 89502-2162 | 2012-01-20 |
| 1194013284 | Karen C. Jackson | Speech-Language Pathologist | 7449 Heatherfield Ln, Alexandria, VA 22315-5292 | 2011-07-11 |
| 1730481862 | Karen Gayle Jackson | Counselor | 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 | 2010-11-22 |
| 1316268188 | Karen F Jackson | Chore Provider | 136 Dockside Dr, Jacksonville, NC 28546-9768 | 2010-06-16 |
| 1124274774 | Karen Jackson | Nurse Practitioner | 107 Nicole Pl, Daphne, AL 36526-7614 | 2008-08-14 |
| 1881899607 | Karen Jackson | Occupational Therapist | 378 Black Point Rd, Scarborough, ME 04074-8619 | 2007-06-20 |
| 1013111228 | Karen Lynette Jackson | Contractor | 2915 N 44th St, Milwaukee, WI 53210-1710 | 2007-06-12 |
| Street Address |
6564 CRESCENT GRN |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760011142 | Mona Belsare | Counselor | 1595 Sugar Maple Way, West Bloomfield, MI 48324-4006 | 2020-04-07 |
| 1972136430 | Abigail Orbuch Jankelovitz | Counselor | 4996 Trail Ridge Ct, West Bloomfield, MI 48322-4563 | 2020-02-12 |
| 1265987341 | Julianne Deangelis | Counselor | 5260 Winton Ct, West Bloomfield, MI 48324-4007 | 2016-08-18 |
| 1932561404 | Catherine Miree | Counselor | 6757 Woodside Trl, West Bloomfield, MI 48322-3914 | 2016-03-24 |
| 1114268653 | Moving Forward Counseling, LLC | Counselor | 3627 Hutchins Hill Dr, West Bloomfield, MI 48323-2823 | 2013-03-07 |
| 1992053656 | Loren Renee Shiener | Counselor | 6940 Brook Hollow Court, West Bloomfield, MI 48322 | 2012-08-28 |
| 1821235409 | Vstar Behavioral Health Services | Counselor | 2571 Pine Ridge Rd, West Bloomfield, MI 48324-1956 | 2009-01-19 |
| 1346402120 | Josephine Fletcher | Counselor | 6130 Cohise Drive., West Bloomfield, MI 48322 | 2008-07-02 |
| 1508035866 | Joyce Patricia Stuart | Counselor | 2085 Burgundy St, West Bloomfield, MI 48323-3023 | 2008-02-20 |
| 1295903193 | Zina Asmar-salem | Counselor | 5779 W Maple Rd, West Bloomfield, MI 48322-4493 | 2008-02-13 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
Please comment or provide details below to improve the information on KAREN JACKSON.
| 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.