TANJA DECARLO-JACKSON
NPI 1073722161
Counselor - Addiction (Substance Use Disorder) in Madison Heights, MI

Q: What is Tanja Decarlo-jackson's NPI number?

The NPI number for Tanja Decarlo-jackson is 1073722161. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Tanja Decarlo-jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since May 22, 2007

1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071(248) 547-2223 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tanja Decarlo-jackson NPPES

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

TANJA DECARLO-JACKSON (NPI 1073722161) is an individual addiction (substance use disorder) provider in Madison Heights, Michigan and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1073722161

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTANJA DECARLO-JACKSON

Location Address1400 E 12 MILE RDMadison Heights, MI 48071-2651

Mailing Address19134 Montrose StDetroit, MI 48235-2309 · (313) 653-4652

Phone(248) 547-2223

Sole ProprietorNo

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1073722161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

1400 E 12 MILE RD, Madison Heights, MI 48071

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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.

JILLIAN PARNOS LPC, CAADC

Counselor

1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 761-7992

SHARITA BROWN

Counselor

1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 658-1116

DANIELLE LAWLESS

Counselor (Professional)

1400 E 12 MILE RD
MADISON HTS, MI 48071

Oakland County (248) 658-1116

DAVID KEITH WALLIS

Peer Specialist

1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 658-1116

MS. SUSANNE LATESSA LLMSW, MED, BSN, RN

Social Worker (Clinical)

1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 658-1116

PREMIER SERVICES OF MICHIGAN, LLC

Clinic/Center (Methadone)

1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 547-2223

MARK FRAS

Counselor (Addiction (Substance Use Disorder))

1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 658-1116

MRS. KATHRYN KAY LEVENSON B.A., L.M.S.W.

Social Worker

1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 658-1116

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 Tanja Decarlo-jackson's NPI number?

The NPI number for Tanja Decarlo-jackson is 1073722161. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Tanja Decarlo-jackson located?

Tanja Decarlo-jackson practices at 1400 E 12 Mile Rd, Madison Heights, MI 48071. The listed phone number is (248) 547-2223.

What is Tanja Decarlo-jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tanja Decarlo-jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.