OrganizationActive
The Source Counseling, Case Management and Consultation
NPI 1437640687 · Professional Counselor · Southfield, MI
Provider details
- NPI number
- 1437640687
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shanna Jackson, Owner/ Counselor(313) 544-3513
- License
- 6401013761 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
29277 Southfield Rd Ste C
Southfield, MI 48076-1922
Phone: (313) 409-8073
Street-level locationGet directions
Mailing address
18007 Juliana Ave
Eastpointe, MI 48021-3205
Other names (DBA / former)
- Doing business as
- The Source
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2018-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.