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TAMARA T JACKSON
NPI 1164061073
Counselor - Addiction (Substance Use Disorder) in Grand Rapids, MI

Active since December 26, 2019
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 456-1443 Get Directions Write a Review

NPPES record last updated: December 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamara T Jackson NPPES

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

TAMARA T JACKSON (NPI 1164061073) is an individual addiction (substance use disorder) provider in Grand Rapids, Michigan and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1164061073
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTAMARA T JACKSON
Location Address40 JEFFERSON AVE SEGrand Rapids, MI 49503-4304
Mailing Address40 Jefferson Ave SeGrand Rapids, MI 49503-4304
Phone(616) 456-1443
Sole ProprietorNo
Enumeration DateDecember 26, 2019
✔ NPI 1164061073 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
40 JEFFERSON AVE SE, Grand Rapids, MI 49503
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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.

MRS. MARIAN EVELYN LILLY LPC
Counselor (Mental Health)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 356-6247
RUSSELL WALTON BATES JR. LLC
Counselor
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
MS. COURTNEY LYN SMITH
Counselor (Professional)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
MS. REBECCA SUE BUSMAN TLLP
Psychologist (Counseling)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 855-5931
MISS SARAH JEAN RIEMERSMA LMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 732-6391
JENNIFER ROSE GARD LMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
ANDREW SCHMIDL LLMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
MRS. JACQUELYN LEE LEE MA, LPC
Counselor (Professional)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443

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 Tamara Jackson's NPI number?

The NPI number for Tamara Jackson is 1164061073. It was assigned to this individual provider in the NPPES registry on December 26, 2019.

Where is Tamara Jackson located?

Tamara Jackson practices at 40 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 456-1443.

What is Tamara 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 Tamara Jackson was last updated on December 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.