KAREN JACKSON
NPI 1417402603
Counselor - Mental Health in West Bloomfield, MI

Q: What is Karen Jackson's NPI number?

The NPI number for Karen Jackson is 1417402603. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Q: What is Karen Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Karen Jackson was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 17, 2016

6564 CRESCENT GRN, WEST BLOOMFIELD, MI 48322(313) 695-3469 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Karen Jackson NPPES

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

KAREN JACKSON (NPI 1417402603) is an individual mental health provider in West Bloomfield, Michigan, licensed in Michigan (6401015668) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1417402603

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKAREN JACKSON

Location Address6564 CRESCENT GRNWest Bloomfield, MI 48322-1323

Mailing Address6564 Crescent GrnWest Bloomfield, MI 48322-1323 · (313) 695-3469

Phone(313) 695-3469

Sole ProprietorNo

Enumeration DateAugust 17, 2016

Last NPPES UpdateOctober 5, 2016

✔ NPI 1417402603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6401015668

6564 CRESCENT GRN, West Bloomfield, MI 48322

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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 Karen Jackson's NPI number?

The NPI number for Karen Jackson is 1417402603. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Where is Karen Jackson located?

Karen Jackson practices at 6564 Crescent Grn, West Bloomfield, MI 48322. The listed phone number is (313) 695-3469.

What is Karen 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 Karen Jackson was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.