ORTAGUS DAVOUR JACKSON CERTIFICATE
NPI 1376491258
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Q: What is Ortagus Jackson's NPI number?

The NPI number for Ortagus Jackson is 1376491258. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Q: What is Ortagus Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Ortagus Jackson was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 18, 2026

18939 SCHOENHERR ST, DETROIT, MI 48205(313) 300-7599 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Mar 18, 2026 (2 updates tracked since 2026).

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About Ortagus Davour Jackson Certificate NPPES

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

ORTAGUS DAVOUR JACKSON CERTIFICATE (NPI 1376491258) is an individual addiction (substance use disorder) provider in Detroit, Michigan, licensed in Michigan (172V00000X) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1376491258

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameORTAGUS DAVOUR JACKSONCredential: CERTIFICATE

Location Address18939 SCHOENHERR STDetroit, MI 48205-2205

Mailing Address18939 Schoenherr StDetroit, MI 48205-2205 · (313) 300-7599

Phone(313) 300-7599

Sole ProprietorYes

Enumeration DateMarch 18, 2026

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1376491258 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

License✔ Licensed in MI · 172V00000X

18939 SCHOENHERR ST, Detroit, MI 48205

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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 Ortagus Jackson's NPI number?

The NPI number for Ortagus Jackson is 1376491258. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Ortagus Jackson located?

Ortagus Jackson practices at 18939 Schoenherr St, Detroit, MI 48205. The listed phone number is (313) 300-7599.

What is Ortagus 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 Ortagus Jackson was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.