Crystal Jackson, PH.D., LLP
NPI 1255595948 · Counseling Psychologist · Detroit, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Jackson, PH.D., LLP is a Counseling Psychologist provider in Detroit, MI (NPI 1255595948).
Provider details
- NPI number
- 1255595948
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., LLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301013473 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2020-10-13
- Certified
- 2020-10-13
Frequently asked questions
- What is Crystal Jackson's NPI number?
- Crystal Jackson's National Provider Identifier (NPI) is 1255595948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Jackson's specialty?
- Crystal Jackson is listed in the NPPES registry with a primary specialty of Counseling Psychologist (Behavioral Health & Social Service Providers).
- Where is Crystal Jackson located?
- Crystal Jackson's practice location on file with NPPES is 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011.
- What is Crystal Jackson's phone number?
- The practice phone number listed in the NPPES registry for Crystal Jackson is (586) 257-2295.
- Does Crystal Jackson accept Medicare?
- Crystal Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Crystal Jackson's NPI active?
- Yes — Crystal Jackson's NPI (1255595948) is active in the NPPES registry as of the last update on 2020-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.