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JESSIE CAMACHO JR.
NPI 1487029575
Peer Specialist in Detroit, MI

Active since December 01, 2015
19436 PACKARD ST, DETROIT, MI 48234(313) 231-6049 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessie Camacho Jr. NPPES

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

JESSIE CAMACHO JR. (NPI 1487029575) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1487029575
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJESSIE CAMACHO JR.
Location Address19436 PACKARD STDetroit, MI 48234-3195
Mailing Address19436 Packard StDetroit, MI 48234-3195
Phone(313) 231-6049
Sole ProprietorNo
Enumeration DateDecember 1, 2015
✔ NPI 1487029575 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.
19436 PACKARD ST, Detroit, MI 48234
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Other Providers at the Same Location NPPES 7

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

CASAUNDRA SIMMONS
Case Manager/Care Coordinator
19436 PACKARD ST
DETROIT, MI 48234
Wayne County (313) 587-1950
ALICIA SIMMONS
Case Manager/Care Coordinator
19436 PACKARD ST
DETROIT, MI 48234
Wayne County (313) 231-6049
DEONTA SIMMONS
Case Manager/Care Coordinator
19436 PACKARD ST
DETROIT, MI 48234
Wayne County (313) 231-6049
HUBERT MAYBERRY
Driver
19436 PACKARD ST
DETROIT, MI 48234
Wayne County (313) 231-6049
MR. VERNON BRYAN
Peer Specialist
19436 PACKARD ST
DETROIT, MI 48234
Wayne County (313) 231-6049
ALEXIS HUNTER M.A.
Specialist (Research Study)
19436 PACKARD ST
DETROIT, MI 48234
Wayne County (313) 231-6049
BERNARD MCCOY
Community Health Worker
19436 PACKARD ST
DETROIT, MI 48234
Wayne County (313) 231-6049

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 Jessie Camacho's NPI number?

The NPI number for Jessie Camacho is 1487029575. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Jessie Camacho located?

Jessie Camacho practices at 19436 Packard St, Detroit, MI 48234. The listed phone number is (313) 231-6049.

What is Jessie Camacho'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 Jessie Camacho was last updated on December 1, 2015. 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.