Sheila Ann Jackson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9315 Telegraph Rd
Redford, MI 48239-1260

Phone

(313) 937-9500

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lincoln Behavioral Services

  • Family Medicine Physician
  • Redford, MI
  • NPI 1356987762
  NPD (past)
• Lincoln Behavioral Services

  • Psychiatry Physician
  • Redford, MI
  • NPI 1669451944
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1730859489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 WINDSOR WOODS DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872296",
            "telephone_number": "248-210-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391260",
            "telephone_number": "313-937-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Denise Jackson, MA, LBSW
• Felicia Jackson, LLP
• Kymani Mahaffey Jackson
• Kyra Jackson, CMA
• Ronda Jackson
• Thomasene Jackson, LLPC
• Briana Jacobs
• Amanda Jagod, LLMSW
• Asha Jain, MD
• Shantanique Jamerson

• Mental Health Counselor in Redford, MI
• Providers in Redford, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.