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TERRENCE EDWARD JONES CPRM
NPI 1275047797
Peer Specialist in Detroit, MI

Active since November 20, 2017
15941 FAIRFIELD ST, DETROIT, MI 48238(313) 345-4310(313) 345-4315 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terrence Edward Jones Cprm NPPES

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

TERRENCE EDWARD JONES CPRM (NPI 1275047797) is an individual peer specialist in Detroit, Michigan, licensed in Michigan (SA0823212) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1275047797
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTERRENCE EDWARD JONESCredential: CPRM
Location Address15941 FAIRFIELD STDetroit, MI 48238-4123
Mailing Address15941 Fairfield StDetroit, MI 48238-4123 · (313) 345-4310 · Fax (313) 345-4315
Phone(313) 345-4310
Fax(313) 345-4315
Sole ProprietorNo
Enumeration DateNovember 20, 2017
✔ NPI 1275047797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in MI · SA0823212
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
15941 FAIRFIELD ST, Detroit, MI 48238
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Other Names 1

Other Name (5)Kim Bullock Adminstrative Manage

Other Identifiers 1

Medicaid204986314MI

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.

KENNETH FULTZ CPRM
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
MEGAN E DOYLE
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
IDELLMAR BYAIS BSW
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
MS. RACHEL MARION SMITH
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
ERIC CARTER
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
JONATHON EDWARD WILLIAMS BSW
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
JUANITA CHARLESTON
Contractor
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 855-6035
LAKERIDGE VILLAGE, INC.
Substance Abuse Rehabilitation Facility
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310

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 Terrence Jones's NPI number?

The NPI number for Terrence Jones is 1275047797. It was assigned to this individual provider in the NPPES registry on November 20, 2017. The provider is also known as Kim Bullock Adminstrative Manage.

Where is Terrence Jones located?

Terrence Jones practices at 15941 Fairfield St, Detroit, MI 48238. The listed phone number is (313) 345-4310.

What is Terrence Jones's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Terrence Jones was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.