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MR. RODERICK O. JACKSON C.P.S.S.
NPI 1801120779
Counselor - Addiction (Substance Use Disorder) in Highland Park, MI

Active since September 25, 2009
211 GLENDALE ST, HIGHLAND PARK, MI 48203(313) 459-4802 Get Directions Write a Review

NPPES record last updated: September 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Roderick O. Jackson C.p.s.s. NPPES

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

MR. RODERICK O. JACKSON C.P.S.S. (NPI 1801120779) is an individual addiction (substance use disorder) provider in Highland Park, Michigan and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1801120779
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RODERICK O. JACKSONCredential: C.P.S.S.
Location Address211 GLENDALE STHighland Park, MI 48203-3231
Mailing Address9176 DixieRedford, MI 48239-1516 · (313) 459-4802
Phone(313) 459-4802
Sole ProprietorYes
Enumeration DateSeptember 25, 2009
✔ NPI 1801120779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
211 GLENDALE ST, Highland Park, MI 48203
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Other Providers at the Same Location NPPES 16

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

MS. PAMELA ELAINE ALEXANDER MS, NCAC II, CAC II
Counselor (Addiction (Substance Use Disorder))
211 GLENDALE ST
HIGHLAND PARK, MI 48203
Wayne County (313) 868-8223
DETROIT RECOVERY PROJECT
Substance Abuse Rehabilitation Facility
211 GLENDALE ST
HIGHLAND PARK, MI 48203
Wayne County (313) 868-0721
MS. EARTHY WINTERS MA, LLPC
Counselor (Addiction (Substance Use Disorder))
211 GLENDALE ST, SUITE 206
HIGHLAND PARK, MI 48203
Wayne County (313) 868-3223
PREFERRED MEDICAL PROFESSIONALS, P.C.
Family Medicine
211 GLENDALE ST, SUITE 323
HIGHLAND PARK, MI 48203
Wayne County (313) 564-8930
MR. KURTIS JAMES LAMARR LMSW
Social Worker (Clinical)
211 GLENDALE ST
HIGHLAND PARK, MI 48203
Wayne County (313) 868-3223
RAV3 CO
Pharmacy (Community/Retail Pharmacy)
211 GLENDALE ST
DETROIT, MI 48203
Wayne County (313) 454-4730
MR. MICHAEL LEWIS NAPOLEON
Counselor (Addiction (Substance Use Disorder))
211 GLENDALE ST
HIGHLAND PARK, MI 48203
Wayne County (313) 868-0721
MS. WENDY MARCELLA HERSHEY FAODP
Counselor (Addiction (Substance Use Disorder))
211 GLENDALE ST
HIGHLAND PARK, MI 48203
Wayne County (313) 868-0721

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 Roderick Jackson's NPI number?

The NPI number for Roderick Jackson is 1801120779. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Roderick Jackson located?

Roderick Jackson practices at 211 Glendale St, Highland Park, MI 48203. The listed phone number is (313) 459-4802.

What is Roderick Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Roderick Jackson was last updated on September 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.