JABREONA A MACKIE (NPI# 1568015170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568015170 |
| Entity Type | Individual |
| Full Name | JABREONA A MACKIE |
| Practice Address |
17421 Telegraph Rd Detroit MI 48219-3165 |
| Practice Telephone | 3135312500 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
17421 TELEGRAPH RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629103270 | Tanya Terrell Thomas | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2007-02-23 |
| 1881226389 | Amanda Sue Hutchinson | Registered Nurse | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2020-02-12 |
| 1295366995 | Mary Kathryn Bicknell | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2020-01-31 |
| 1992345524 | Grace Hall | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2020-01-12 |
| 1437798105 | Sarah Rose Waterman | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-12-30 |
| 1386294882 | Neil W Shernoff | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-09-17 |
| 1174173959 | Chenika Rogers | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-09-13 |
| 1326695446 | Chelsey Denise Holmes | Social Worker | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-08-22 |
| 1255987731 | Tangela Shanice Smith | Counselor | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-08-12 |
| 1073169553 | Kayla Pacic | Counselor | 17421 Telegraph Rd, Detroit, MI 48219-3165 | 2019-08-12 |
| 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 |
| Find all providers in DETROIT | ||||
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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.