Ebony Harvey-Jackson, LMSW

Primary specialty

Health Information TechnicianTaxonomy code 247000000X

Practice address

19323 Stansbury St
Detroit, MI 48235-1733

Phone

(313) 215-6395

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Born for Me LLC

  • Case Management Agency
  • Detroit, MI
  • NPI 1164878294
  NPD (past) Authorized official
• Fountain of Love Assisted Living Sevices Inc

  • Adult Day Care Clinic/Center
  • Oak Park, MI
  • NPI 1497160477
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1164820163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19323 STANSBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351733",
            "telephone_number": "313-215-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19323 STANSBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351733",
            "telephone_number": "313-215-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY-JACKSON",
        "first_name": "EBONY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvest Center for Wellness LLC
• Harvest Retreat Drop-in Center
• Harvesting Hope, LLC
• Harvesting Love & Hope, LLC
• Harvey Colbert DDS PC
• Harvey-Jakson Consulting
• Brittany Danyelle Harvey, LMSW
• Chanel Harvey
• Lauren Patricia Harvey, MD
• Monte Lance Harvill, MD

• Health Information Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Health Information Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.