SHANTELL M M JACKSON
NPI 1386598597
Counselor - Pastoral in Detroit, MI

Q: What is Shantell M Jackson's NPI number?

The NPI number for Shantell M Jackson is 1386598597. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Q: What is Shantell M Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

Active since February 24, 2026

18256 ASHTON AVE, DETROIT, MI 48219(313) 475-6685 Get Directions Write a Review

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

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About Shantell M M Jackson NPPES

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

SHANTELL M M JACKSON (NPI 1386598597) is an individual pastoral provider in Detroit, Michigan, licensed in Michigan (J250765585757) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1386598597

Entity TypeIndividualFemale

Primary Taxonomy101YP1600X

Provider Legal NameSHANTELL M M JACKSON

Location Address18256 ASHTON AVEDetroit, MI 48219-2957

Mailing Address18256 Ashton AveDetroit, MI 48219-2957 · (313) 475-6685

Phone(313) 475-6685

Sole ProprietorYes

Enumeration DateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1386598597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers

Taxonomy Code101YP1600X

License✔ Licensed in MI · J250765585757

18256 ASHTON AVE, Detroit, MI 48219

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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 Shantell M Jackson's NPI number?

The NPI number for Shantell M Jackson is 1386598597. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Where is Shantell M Jackson located?

Shantell M Jackson practices at 18256 Ashton Ave, Detroit, MI 48219. The listed phone number is (313) 475-6685.

What is Shantell M Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Shantell M Jackson was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.