FELICIA JACKSON


Address: 1852 W Grand Blvd, Detroit, MI 48208-1006
Phone: 3138948444

FELICIA JACKSON (NPI# 1659827301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659827301
Entity Type Individual
Full Name FELICIA JACKSON
Practice Address 1852 W Grand Blvd
Detroit
MI 48208-1006
Mailing Address 1852 W. Grand Blvd
Detroit
MI 48208
Practice Telephone 3138948444
Mailing Telephone 3138948444
Enumeration Date 2016-08-31
Last Update Date 2016-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker 38-1917278 MI Other Service Providers

Other Providers FELICIA JACKSON

NPI Name Taxonomy Address Enumeration
1053950543 Felicia Jackson Registered Nurse 7026 W Belden Ave Unit B, Chicago, IL 60707-2966 2019-12-31
1831419530 Felicia Jackson Counselor 24755 5 Mile Rd Ste 107, Redford, MI 48239-3665 2010-06-03
1013155621 Felicia Annette Jackson Registered Nurse 17610 Durham Ridge Ln, Humble, TX 77346-2986 2009-02-04
1497953152 Felicia Athens Jackson Registered Nurse 4634 Belfast Dr, Columbus, OH 43227-2527 2007-07-04
1346879756 Felicia Jackson Case Manager/Care Coordinator 450 W 14th St, Chicago Heights, IL 60411-2463 2020-04-07
1881230852 Felicia Jackson Case Manager/Care Coordinator 3330 Canal St, New Orleans, LA 70119-6206 2019-11-25
1225521313 Felicia Lynette Jackson Student in an Organized Health Care Education/Training Program 115 Mill St, Belmont, MA 02478-1048 2018-06-13
1982197638 Felicia Jackson Behavior Technician 8200 Georgia St, Merrillville, IN 46410-6227 2018-06-07
1306218086 Felicia Jackson Counselor 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112 2015-10-21
1811235393 Felicia Jackson Registered Nurse 69 Avenue B, Madison, WV 25130-1162 2013-01-18

Office Location

Street Address 1852 W GRAND BLVD
City DETROIT
State MI
Zip Code 48208-1006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851457451 Self Help Addiction Rehabilitation (shar) Substance Abuse Rehabilitation Facility 1852 W Grand Blvd, Detroit, MI 48208-1006 2006-12-28
1295373504 Teri Laurie Colvin Community Based Residential Treatment Facility, Mental Illness 1852 W Grand Blvd, Detroit, MI 48208-1006 2019-12-17
1285090886 Mark Winfield II Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-12
1134585003 Rae Harris Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-08
1831555630 Carolyn Louise Miles Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-08
1598121386 Lawrence Barnes Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-08
1396101226 Tinelda Williamson Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-07
1043676968 Lee Zinsky Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-07
1962868893 Tiffani Holley Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-07
1134585045 Christy Brooks Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1932645405 Diane Louise Dodson Counselor 5500 Trumbull Apt 315, Detroit, MI 48208 2017-01-09
1164881306 Cory Eugene Martin Counselor 1852 W. Grand Blvd., Detroit, MI 48208 2016-02-16
1578947784 Hamza Belhaj Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 2015-07-17
1942629167 Diana Pool Counselor 3737 Lawton, Detroit, MI 48208 2014-04-15
1124467048 Aisha Williams Social Worker 4707 Vinewood St., Detroit, MI 48208 2013-06-25
1295079895 Mia Love Nurse Practitioner 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 2012-11-20
1992064356 Valarie Egeria Foulks Counselor 2051 W. Grand Blvd, Detroit, MI 48208 2012-05-04
1023304078 Ayana Njeri Davis Massage Therapist 2550 W. Grand Blvd, Detroit, MI 48208 2011-06-28
1184922627 Shar Inc. Community Based Residential Treatment Facility, Mental Illness 1852 W.grand Blvd, Detroit, MI 48208 2011-03-08
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326667015 Alfreda Newkirt-hankins Community Health Worker 445 Ledyard Street, Detroit, MI 48201 2020-04-13
1003455429 Jose Rodriguez Community Health Worker 6345 Perkins St, Detroit, MI 48210-2466 2020-01-02
1497229751 Tameka Latoya Jackson -dyer Community Health Worker 18983 Edinborough Rd, Detroit, MI 48219-2825 2019-01-18
1548731359 Fatima Eid Community Health Worker 5716 Michigan Ave Ste 4000, Detroit, MI 48210-3039 2018-12-06
1982113858 Prevision Withstanding, Incorporated Community Health Worker 1758 Helen St, Detroit, MI 48207-3654 2017-09-23
1073049144 Cheryl Williams Community Health Worker 13929 Chalmers Ave., Detroit, MI 48213 2017-05-10
1902348030 New Life Direct Care Staffing, Inc. Community Health Worker 20007 Mccormick St, Detroit, MI 48224-1147 2016-11-07
1669924882 Jason Harrell Community Health Worker 20266 Bradford St, Detroit, MI 48205-1005 2016-11-04
1922555002 Nicole Comer Community Health Worker 13518 Archdale St, Detroit, MI 48227-1336 2016-09-06
1245786276 Angela Cleveland Community Health Worker 14186 Rutherford St, Detroit, MI 48227-1844 2016-08-30
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Competitor

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City DETROIT
Zip Code 48208

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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