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MS. ANTOINETTE RACHEL JACKSON
NPI 1144971508
Counselor - Mental Health in Southgate, MI

Active since January 17, 2022
13101 ALLEN RD, SOUTHGATE, MI 48195(734) 785-7700 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2024, Aug 31, 2022, Jan 17, 2022 (3 updates tracked since 2022).

About Ms. Antoinette Rachel Jackson NPPES

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

MS. ANTOINETTE RACHEL JACKSON (NPI 1144971508) is an individual mental health provider in Southgate, Michigan and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1144971508
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ANTOINETTE RACHEL JACKSON
Location Address13101 ALLEN RDSouthgate, MI 48195-2216
Mailing Address12433 Birwood StDetroit, MI 48204-1022 · (248) 372-1850
Phone(734) 785-7700
Sole ProprietorYes
Enumeration DateJanuary 17, 2022
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1144971508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13101 ALLEN RD, Southgate, MI 48195
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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.

LORI SUE MITCHELL RN
Registered Nurse
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7731
SHANNON BAYNAI
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MISS RENEE GOLDSBY
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 486-3199
POONAM SHYAM MELWANI
Social Worker
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
MR. JAMES GERARD LIVINGSTON LLMSW
Social Worker (Clinical)
13101 ALLEN RD, SUITE 400
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
VICKIE LYNN NOVELL LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
CLAUDETTE JEFFERSON LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
RICKY DAVIS QMHS-B
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700

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 Antoinette Jackson's NPI number?

The NPI number for Antoinette Jackson is 1144971508. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Antoinette Jackson located?

Antoinette Jackson practices at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Antoinette Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Antoinette Jackson was last updated on November 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.