Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CARRISMA JACKSON
NPI 1306751854
Counselor - Mental Health in Portage, MI

Active since August 18, 2026
246 E KILGORE RD, PORTAGE, MI 49002(269) 249-7179 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carrisma Jackson NPPES

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

CARRISMA JACKSON (NPI 1306751854) is an individual mental health provider in Portage, Michigan and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1306751854
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameCARRISMA JACKSON
Location Address246 E KILGORE RDPortage, MI 49002-0507
Mailing Address246 E Kilgore RdPortage, MI 49002-0507
Sole ProprietorYes
Enumeration DateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
NPI 1306751854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
246 E KILGORE RD, Portage, MI 49002

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
246 E KILGORE RD
PORTAGE, MI 49002
Social Worker (Clinical)
246 E KILGORE RD
PORTAGE, MI 49002
Social Worker (Clinical)
246 E KILGORE RD
PORTAGE, MI 49002
Social Worker (Clinical)
246 E KILGORE RD
PORTAGE, MI 49002
Counselor (Mental Health)
246 E KILGORE RD
PORTAGE, MI 49002
Counselor (Professional)
246 E KILGORE RD
PORTAGE, MI 49002
Social Worker (Clinical)
246 E KILGORE RD
PORTAGE, MI 49002
Social Worker
246 E KILGORE RD
PORTAGE, MI 49002

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 Carrisma Jackson's NPI number?

The NPI number for Carrisma Jackson is 1306751854. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Carrisma Jackson located?

Carrisma Jackson practices at 246 E Kilgore Rd, Portage, MI 49002. The listed phone number is (269) 249-7179.

What is Carrisma 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 Carrisma Jackson was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.