NPIMap

Individual provider Active NPI

Sarah Jackson

  • Addiction (Substance Use Disorder) Counselor
  • Westland, MI
National Provider Identifier
1396390555
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
32715 Dorsey St
Westland, MI 48186-4755
Phone
(734) 641-1141
NPI assigned
Aug 5, 2019
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MI Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

32715 Dorsey St
Westland, MI 48186-4755

Mailing address

6863 Fellrath St
Taylor, MI 48180-1503
Phone (313) 681-8108

Other practice location 1

43825 Michigan Ave
Canton, MI 48188-2551
Phone (734) 397-3088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sjackson447@my.madonna.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beginning Step Inc. Addiction (Substance Use Disorder) CurrentSince Dec 22, 2020 Accepting new patients
Beginning Step, LLC CurrentSince Dec 22, 2020 Accepting new patients

Locations

32715 Dorsey St
Westland, MI 48186
Phone (734) 641-1141

Interoperability endpoints

  • Direct secure messaging: sjackson447@my.madonna.edu

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1396390555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6863 FELLRATH ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801503",
            "telephone_number": "313-681-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32715 DORSEY ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864755",
            "telephone_number": "734-641-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43825 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481882551",
            "country_code": "US",
            "telephone_number": "734-397-3088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sjackson447@my.madonna.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "43825 Michigan Ave",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481882551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.