Active NPI
Felicia Jackson, LLP
- Professional Counselor
- Redford, MI
National Provider Identifier
1831419530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011892
- Practice address
- 24755 5 Mile Rd Ste 107
Redford, MI 48239-3665 - Phone
- (313) 535-3035
- Fax
- (313) 535-3035
- NPI assigned
- Jun 3, 2010
- Last updated
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011892 | MI | Primary |
Addresses
Primary practice location
24755 5 Mile Rd Ste 107
Redford, MI 48239-3665
Mailing address
24755 5 Mile Rd Ste 107
Redford, MI 48239-3665
Phone (313) 535-3035
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011892 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1831419530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24755 5 MILE RD STE 107",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393665",
"telephone_number": "313-535-3035",
"fax_number": "313-535-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24755 5 MILE RD STE 107",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393665",
"telephone_number": "313-535-3035",
"fax_number": "313-535-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "FELICIA",
"credential": "LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.