JENNIFER JO TACKETT (NPI# 1720395452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720395452 |
| Entity Type | Individual |
| Full Name | JENNIFER JO TACKETT |
| Credential | ART THERAPIST ATR |
| Practice Address |
1669 W Maple Rd Birmingham MI 48009-1230 |
| Practice Telephone | 2486463347 |
| Mailing Telephone | 2486463347 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2014-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376587600 | Jennifer L Tackett | Physician Assistant | 8141 S. Emerson Ave., Ste. A, Indianapolis, IN 46237-8560 | 2006-06-16 |
| 1720198989 | Jennifer Leigh Tackett | Pharmacist | 8880 Market St, Dover, AR 72837-9111 | 2006-08-30 |
| Street Address |
1669 W MAPLE RD |
| City | BIRMINGHAM |
| State | MI |
| Zip Code | 48009-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053566398 | Variety Far Conservatory | Day Training, Developmentally Disabled Services | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2008-12-01 |
| 1154971224 | Jordan Blanchard | Music Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2019-09-19 |
| 1891343737 | Kelsy E Hoemke | Recreation Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2019-09-03 |
| 1962059584 | Samantha Rothe | Recreation Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2019-08-19 |
| 1659927564 | Patrick Heber | Music Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2019-08-15 |
| 1932663275 | Christine Mary Barron | Music Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2019-01-30 |
| 1710467964 | Avery Grant | Recreation Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2018-08-17 |
| 1891273389 | Bradley Thomas Tata | Music Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2018-08-06 |
| 1700364296 | Katherine M Sickles | Music Therapist | 1669 W Maple Rd, Birmingham, MI 48009 | 2018-08-06 |
| 1235615402 | Grace Danielle Reich | Music Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1912374695 | Valerie Kim Kaplansky | Counselor | 300 E. Maple Road, 315, Birmingham, MI 48009 | 2015-08-28 |
| 1578956348 | Nancy Jane Naski | Recreation Therapist | 623 Hanna St, Birmingham, MI 48009 | 2015-03-18 |
| 1619370236 | Caitlin Stoltman | Recreation Therapist | 1669 W. Maple Rd., Far, Birmingham, MI 48009 | 2014-09-28 |
| 1295140770 | Lauren Elizabeth Perlin | Obstetrics & Gynecology | 35046 Woodward Ave Ste 100, Birmingham, MI 48009 | 2014-06-24 |
| 1235560764 | Better Life Learning | Community/Behavioral Health | 33717 Woodward Ave #253, Birmingham, MI 48009 | 2013-12-10 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1689942021 | Brian Connolly Md PC | Psychiatry & Neurology | 189 Townsend, Suite 300, Birmingham, MI 48009 | 2011-12-13 |
| 1619204187 | Dr. Lori PC | Dermatology | 353 South Old Woodward Ave, Birmingham, MI 48009 | 2009-11-04 |
| 1033348453 | Jason Eric Gregory | Music Therapist | 1669 West Maple, Birmingham, MI 48009 | 2009-07-07 |
| Find all providers in zip 48009 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700090438 | Annette F Reynolds | Art Therapist | 3873 Overton Manor Ln, Birmingham, AL 35243-5314 | 2007-05-10 |
| 1356555700 | Amy Catherine Adkisson | Art Therapist | 626 Royal St, Birmingham, AL 35213-2130 | 2007-05-09 |
| 1073068219 | Mary Seefelt | Art Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2016-08-17 |
| 1629495395 | Molly B Schwarb | Art Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2014-03-19 |
| 1174877310 | Martha Pentland Rose | Art Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2012-11-08 |
| 1184955445 | Mary Estelle Alleyne | Art Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2010-01-26 |
| 1851626782 | Lisa Courtney Crystal | Art Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2009-10-09 |
| 1598902892 | Tessa Bird | Art Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011211 | Taylor Beardsall | Art Therapist | 21220 W 14 Mile Rd, Bloomfield Hills, MI 48301-4000 | 2020-10-20 |
| 1144835166 | Artfully Centered, LLC | Art Therapist | 5920 Vandercook St, Monroe, MI 48161-3747 | 2020-09-15 |
| 1639719321 | Jodi Rachelle Leib | Art Therapist | 4518 Walden Dr, Bloomfield Hills, MI 48301-1149 | 2020-01-09 |
| 1295207389 | Molly Diana | Art Therapist | 432 Charlevoix St, Clawson, MI 48017-2036 | 2018-12-30 |
| 1760778179 | Erin Shahly | Art Therapist | 1316 Campbell Rd., Suite # 140, Royal Oak, MI 48067 | 2011-06-23 |
| 1942448790 | Katherine Marie Munter | Art Therapist | 308 Skydale Dr, Ann Arbor, MI 48105-1137 | 2009-02-02 |
| 1679783922 | Karin Elizabeth Mccaul | Art Therapist | 28484 Bayberry Rd, Farmington Hills, MI 48331-2761 | 2007-05-23 |
| 1922216209 | Tih H. Penfil | Art Therapist | 1676 Myrtle Ave, Madison Hts, MI 48071-3060 | 2007-05-18 |
| 1417165119 | Ireneus Jerome Kozak | Art Therapist | 28494 Walker Ave, Warren, MI 48092-2543 | 2007-05-18 |
| 1154538908 | Margaret Mary Mcguinness | Art Therapist | 1950 Trumbull St, Detroit, MI 48216-1529 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 48009 |
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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.