MONIQUE JACKSON


Address: 21630 Jessel Ave, Detroit, MI 48219
Phone: 8552139980

MONIQUE JACKSON (NPI# 1871049684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871049684
Entity Type Individual
Full Name MONIQUE JACKSON
Practice Address 21630 Jessel Ave
Detroit
MI 48219
Mailing Address 5460 Woodland Ridge Dr
Flint
MI 48532-2271
Practice Telephone 8552139980
Enumeration Date 2016-08-31
Last Update Date 2016-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XG0600X Occupational Therapist
Specialization: Gerontology
5202005667 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MONIQUE JACKSON

NPI Name Taxonomy Address Enumeration
1891178281 Monique Jackson Optometrist 4205 Canal St, Ste B, New Orleans, LA 70119-5942 2015-07-02
1083973697 Monique Lasean Jackson Case Manager/Care Coordinator 2910 Buford Dr, Apt# 702, Buford, GA 30519-5109 2012-05-16
1295026946 Monique Jackson Pharmacist 1728 S Madison St, Whiteville, NC 28472-4934 2011-04-28
1295951291 Monique Rochell Jackson Nursing Care 121 Oregon Ave, Ewing, NJ 08638 2007-04-18
1952338543 Monique Rachelle Jackson Nurse Practitioner 1120 W. Washington Blvd., Los Angeles, CA 90015 2006-06-27
1114579208 Monique Jackson Counselor 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 2019-07-10
1811482235 Monique Jackson Registered Nurse 89 Bartlett St, Brooklyn, NY 11206-4463 2018-06-27
1427594092 Monique Jackson Social Worker 9701 Philadelphia Ct Ste R, Lanham, MD 20706-4435 2017-01-06
1730622150 Monique Kimberly Jackson Social Worker 8 Atwood Dr, Suite 301, Northampton, MA 01060-4266 2016-12-02
1609224062 Monique Jackson Home Health Aide 1416 9th St Nw, Washington, DC 20001-3344 2016-05-26

Office Location

Street Address 21630 JESSEL AVE
City DETROIT
State MI
Zip Code 48219

Providers in the same zip code

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
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
1417320250 Khalid Yah-yah Bell Respiratory Therapist, Certified 20200 Chapel, Detroit, MI 48219 2015-11-02
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Taxonomy Information

Taxonomy Code 225XG0600X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Gerontology

Taxonomy Definition

Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Gerontology Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Fact Sheets: Senior Center and Assisted Living Facilities

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174093777 Brooke Deann Barry Occupational Therapist 941 Woodside Dr, Oxford, MI 48371-6720 2018-11-27
1841768603 Linda Anne Brown Occupational Therapist 20788 W Baldwin Rd, Elsie, MI 48831-9255 2018-11-08
1477072486 Cori Lynn Edmondson Occupational Therapist 7262 Apple Grove Ln, Temperance, MI 48182-1568 2017-09-12
1639549405 Stephanie Surinck Occupational Therapist 721 W Chelsea Cir, Davison, MI 48423-1261 2015-10-05
1417331109 Sadhan Mahanta Occupational Therapist 45341 Seabrook Dr, Canton, MI 48188-3252 2015-07-13
1376959361 Kristine Smoot Occupational Therapist 44075 Candlewood Dr, Canton, MI 48187-1903 2014-07-10
1639594948 Tina Beyerlein Occupational Therapist 3165 N Gera Rd, Reese, MI 48757-9704 2014-02-24
1609207695 Karen Irene Zantjer Occupational Therapist 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 2013-12-02
1801143573 Kristine Anne Hirzel Occupational Therapist 200 Michigan Ave W Ste 103, Battle Creek, MI 49017-3632 2012-08-13
1639441967 Aimee Fallon Occupational Therapist 7243 Ira Ln, Howell, MI 48855-9402 2012-02-02
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Competitor

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City DETROIT
Zip Code 48219

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Dataset Information

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.

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