BRENDA JACKSON-BLACK
NPI 1508311978
Case Manager/Care Coordinator in Greenville, MI

Q: What is Brenda Jackson-black's NPI number?

The NPI number for Brenda Jackson-black is 1508311978. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Q: What is Brenda Jackson-black's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since August 16, 2016

4691 COUNTY FARM RD, GREENVILLE, MI 48838(616) 754-5673(616) 754-1190 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Brenda Jackson-black NPPES

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

BRENDA JACKSON-BLACK (NPI 1508311978) is an individual case manager/care coordinator provider in Greenville, Michigan, licensed in Michigan (AG590000026) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1508311978

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameBRENDA JACKSON-BLACK

Location Address4691 COUNTY FARM RDGreenville, MI 48838-9757

Mailing Address4691 County Farm RdGreenville, MI 48838-9757 · (616) 754-5673 · Fax (616) 754-1190

Phone(616) 754-5673

Fax(616) 754-1190

Sole ProprietorYes

Enumeration DateAugust 16, 2016

✔ NPI 1508311978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in MI · AG590000026

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

4691 COUNTY FARM RD, Greenville, MI 48838

Open in Google Maps ↗

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 Brenda Jackson-black's NPI number?

The NPI number for Brenda Jackson-black is 1508311978. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Where is Brenda Jackson-black located?

Brenda Jackson-black practices at 4691 County Farm Rd, Greenville, MI 48838. The listed phone number is (616) 754-5673.

What is Brenda Jackson-black's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Brenda Jackson-black was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.