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JAXSAN MCQUEEN CPSS
NPI 1467278168
Peer Specialist in Detroit, MI

Active since November 26, 2024
707 W MILWAUKEE ST, DETROIT, MI 48202(313) 989-9444 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaxsan Mcqueen Cpss NPPES

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

JAXSAN MCQUEEN CPSS (NPI 1467278168) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1467278168
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJAXSAN MCQUEENCredential: CPSS
Location Address707 W MILWAUKEE STDetroit, MI 48202-2943
Mailing Address707 W Milwaukee StDetroit, MI 48202-2943 · (313) 989-9444
Phone(313) 989-9444
Sole ProprietorNo
Enumeration DateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1467278168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
707 W MILWAUKEE ST, Detroit, MI 48202
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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.

KARYNTHIA STORY
Behavior Technician
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MARK ELTON APPLETON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MELISSA MOODY
Psychologist (Cognitive & Behavioral)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 410-4992
MS. VICKY KAY POLITOWSKI LMSW
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (248) 217-2971
JEWEL IRLENE WALTON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
SAGE RINGSMUTH
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
DAWN MARIE BURCH MA, LLP
Psychologist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
CRYSTAL LAVERA BURKES RN
Registered Nurse
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444

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 Jaxsan Mcqueen's NPI number?

The NPI number for Jaxsan Mcqueen is 1467278168. It was assigned to this individual provider in the NPPES registry on November 26, 2024.

Where is Jaxsan Mcqueen located?

Jaxsan Mcqueen practices at 707 W Milwaukee St, Detroit, MI 48202. The listed phone number is (313) 989-9444.

What is Jaxsan Mcqueen'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 Jaxsan Mcqueen was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.