Jackson Counseling Services LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

JACKSON COUNSELING SERVICES LLC

Practice address

806 Hogsback Rd Ste C
Mason, MI 48854-8525

Phone

(734) 658-1552

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Lynn Jackson

  • Clinical Social Worker
  • Mason, MI
  • NPI 1306329313
  Medicare reassignment NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1326773656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HOGSBACK RD STE C",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488548525",
            "telephone_number": "734-658-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Hunt, LLBSW
• Sarah Hutcheson, MA LLPC
• Ingham Intermediate School District
• Integrative Mind Services LLC
• Heather Marie Isaacson, MA CCCSLP
• Rebecca Lynn Jackson
• Jacqui Hicks Connective Healings PLLC
• Kistur Ajith Jain, PT
• Clare Janoski, MS, CCC-SLP
• Bronwen Leigh Jesswein, LLMSW

• Social Worker in Mason, MI
• Providers in Mason, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.