IndividualActive
Jesse Jackson, LLPC
NPI 1578756094 · Counselor · Detroit, MI
Jesse Jackson, LLPC is a Counselor provider in Detroit, MI (NPI 1578756094).
Provider details
- NPI number
- 1578756094
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LLPC
- Sex
- Male
- Sole proprietor
- No
- License
- 6401008422 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3011 W Grand Blvd
Ste 2000
Detroit, MI 48202-3096
Phone: (800) 972-4283
Street-level locationGet directions
Mailing address
3011 W Grand Blvd
Detroit, MI 48202-3096
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Frequently asked questions
- What is Jesse Jackson's NPI number?
- Jesse Jackson's National Provider Identifier (NPI) is 1578756094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Jackson's specialty?
- Jesse Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jesse Jackson located?
- Jesse Jackson's practice location on file with NPPES is 3011 W Grand Blvd, Detroit, MI 48202-3096.
- What is Jesse Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jesse Jackson is (800) 972-4283.
- Is Jesse Jackson's NPI active?
- Yes — Jesse Jackson's NPI (1578756094) is active in the NPPES registry as of the last update on 2007-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.