DR. CRYSTAL A. JACKSON PH.D., LLP
NPI 1255595948
Psychologist - Counseling in Detroit, MI

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
3011 W GRAND BLVD STE 413, DETROIT, MI 48202(586) 257-2295 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Crystal A. Jackson Ph.d., Llp NPPES

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

DR. CRYSTAL A. JACKSON PH.D., LLP (NPI 1255595948) is an individual counseling provider in Detroit, Michigan, licensed in Michigan (6301013473) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255595948
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. CRYSTAL A. JACKSONCredential: PH.D., LLP
Location Address3011 W GRAND BLVD STE 413Detroit, MI 48202-3011
Mailing Address212 Woodview CtRochester Hills, MI 48307-4112 · (586) 943-0563
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 11, 2008
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1255595948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in MI · 6301013473
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
3011 W GRAND BLVD STE 413, Detroit, MI 48202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Crystal A. Jackson Ph.d., Llp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608296538
PECOS Enrollment IDI20201118002352
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
3011 W GRAND BLVD STE 413
DETROIT, MI 48202

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 Crystal Jackson's NPI number?

The NPI number for Crystal Jackson is 1255595948. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Crystal Jackson located?

Crystal Jackson practices at 3011 W Grand Blvd Ste 413, Detroit, MI 48202. The listed phone number is (586) 257-2295.

What is Crystal Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Crystal Jackson enrolled in Medicare?

Yes. Crystal Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crystal Jackson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Crystal Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Jackson was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.