TASHA JACKSON LLPC
NPI 1205481264
Counselor - Professional in Southgate, MI

Active since August 07, 2019
13305 REECK CT, SOUTHGATE, MI 48195(734) 225-2090 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tasha Jackson Llpc NPPES

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

TASHA JACKSON LLPC (NPI 1205481264) is an individual professional provider in Southgate, Michigan, licensed in Michigan (6401016482) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1205481264
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTASHA JACKSONCredential: LLPC
Location Address13305 REECK CTSouthgate, MI 48195-3197
Mailing Address6549 Town Center Dr Ste AClarkston, MI 48346-4824 · (248) 620-6400
Sole ProprietorYes
Enumeration DateAugust 7, 2019
NPI 1205481264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401016482
13305 REECK CT, Southgate, MI 48195

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.

Social Worker (Clinical)
13305 REECK CT
SOUTHGATE, MI 48195
Social Worker (Clinical)
13305 REECK CT
SOUTHGATE, MI 48195
Counselor (Professional)
13305 REECK CT
SOUTHGATE, MI 48195
Social Worker (Clinical)
13305 REECK CT
SOUTHGATE, MI 48195
Social Worker (Clinical)
13305 REECK CT
SOUTHGATE, MI 48195
Social Worker (Clinical)
13305 REECK CT
SOUTHGATE, MI 48195
Social Worker (Clinical)
13305 REECK CT
SOUTHGATE, MI 48195
Technician, Other
13305 REECK CT
SOUTHGATE, MI 48195

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 Tasha Jackson's NPI number?

The NPI number for Tasha Jackson is 1205481264. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Tasha Jackson located?

Tasha Jackson practices at 13305 Reeck Ct, Southgate, MI 48195. The listed phone number is (734) 225-2090.

What is Tasha Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tasha Jackson was last updated on August 7, 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.