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JACKSON BLOUGH
NPI 1023903119
Case Manager/Care Coordinator in Benton Harbor, MI

Active since June 10, 2025
1613 M 139, BENTON HARBOR, MI 49022(269) 925-0585 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Blough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON BLOUGH (NPI 1023903119) is an individual case manager/care coordinator provider in Benton Harbor, Michigan and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1023903119
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACKSON BLOUGH
Location Address1613 M 139Benton Harbor, MI 49022-5748
Mailing Address348 Marina DrSaint Joseph, MI 49085-1045
Phone(269) 925-0585
Sole ProprietorYes
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1023903119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1613 M 139, Benton Harbor, MI 49022
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIOBHAN WILLIAMS LLMSW
Social Worker (Clinical)
1613 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
ANNA MARIE COOPER LLMSW
Social Worker (Clinical)
1613 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
ANGELA VON DORPOWSKI
Case Manager/Care Coordinator
1613 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
ALYSSA A ALSUP LLBSW
Case Manager/Care Coordinator
1613 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
TIARA M. ZIMMERMAN
Behavior Technician
1613 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
KAYLA L YONKER BA
Case Manager/Care Coordinator
1613 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
YSABELLA HAMANN
Case Management
1613 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MRS. REBECCA NELL BURMEISTER LMSW
Social Worker (Clinical)
1613 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Blough's NPI number?

The NPI number for Jackson Blough is 1023903119. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Jackson Blough located?

Jackson Blough practices at 1613 M 139, Benton Harbor, MI 49022. The listed phone number is (269) 925-0585.

What is Jackson Blough's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jackson Blough was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.