IndividualActive
Nautica Jackson, LLPC
NPI 1639911373 · Counselor · Detroit, MI
Nautica Jackson, LLPC is a Counselor provider in Detroit, MI (NPI 1639911373).
Provider details
- NPI number
- 1639911373
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LLPC
- Sex
- Female
- Sole proprietor
- No
- License
- 6451023616 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
79 W Alexandrine St
Detroit, MI 48201-2015
Phone: (313) 831-5535
Fax: (313) 831-2608
Street-level locationGet directions
Mailing address
79 W Alexandrine St
Detroit, MI 48201-2015
Additional practice locations (1)
- 2399 E Walton BlvdAuburn Hills, MI 48326-1955Phone: (248) 475-6300
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Frequently asked questions
- What is Nautica Jackson's NPI number?
- Nautica Jackson's National Provider Identifier (NPI) is 1639911373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nautica Jackson's specialty?
- Nautica Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Nautica Jackson located?
- Nautica Jackson's practice location on file with NPPES is 79 W Alexandrine St, Detroit, MI 48201-2015.
- What is Nautica Jackson's phone number?
- The practice phone number listed in the NPPES registry for Nautica Jackson is (313) 831-5535.
- Is Nautica Jackson's NPI active?
- Yes — Nautica Jackson's NPI (1639911373) is active in the NPPES registry as of the last update on 2026-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.