Latoya T Jackosn, COUNSELOR

Primary specialty

CounselorTaxonomy code 101Y00000X

License

J250488789675 Issued in MI

Practice address

Sunshine Treatment in
4821 E. McNichols
Detroit, MI 48212

Phone

(313) 368-4800

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Cascor Health Systems PC

  dba East Park Medical Center

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1053462846
  NPD (past)
• Sunshine Treatment Institute LLC

  • Methadone Clinic
  • Detroit, MI
  • NPI 1265837280
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1912136797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20420 TERRELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343209",
            "telephone_number": "313-218-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNSHINE TREATMENT IN",
            "address_2": "4821 E. MCNICHOLS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48212",
            "telephone_number": "313-368-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKOSN",
        "first_name": "LATOYA",
        "middle_name": "T",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "J250488789675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Jabro, DO
• Lorelee Jacinto, P.T.
• Chaun Rene Jack
• Jackies Guardian Angels LLC.
• Catherine Brock Jackman, ACNS-BC
• Mackenzie Jacks, PA-C
• Tameka Latoya Jackson -Dyer, IBCLC, CHW
• Phazhe Jackson Dorr
• Jackson Health Services
• Jackson Health Services

• Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.