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Active NPI 1518450899 Individual Practitioner Female Practitioner

Nina Yvonne Jackson , LPC

Counselor - Professional • Wayne, MI

Professional Overview & Biography Verified Profile Summary

Nina Jackson, LPC is a registered healthcare professional specializing in Counselor - Professional in Wayne, MI. Practice services are available at 34841 VETERANS PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

34841 Veterans Plz

Wayne, MI 481841733

Telephone 3132927640
Fax 3132929270
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Wayne, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Wayne, MI (5077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401007953

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dasha Shchukina , LMSW

Social Worker - Clinical

NPI 1023514726

Licensed Master Social Worker

Dave Bussell

Psychologist - Clinical

NPI 1063930758
Lena Azzam

Counselor

NPI 1083257067
NPI 1104176932

Master of Arts, TLLP

Brittany King

Counselor

NPI 1104384486
June Taylor , LLP

Psychologist

NPI 1114190840

Licensed Limited Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2018

Registered at 34841 VETERANS PLZ, WAYNE, MI 481841733 (Tel: 3132927640)

📍
Updated Business Mailing Address June 11, 2018

Registered at 34841 VETERANS PLZ, WAYNE, MI 481841733 (Tel: 3132927640)

👤
Provider Name / Credentials Updated June 11, 2018

Recorded as NINA JACKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2018

Counselor (License #6401007953 in MI)

🟢
Initial NPI Registration & Enumeration June 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518450899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2018
Last Update: June 11, 2018
Sole Proprietor: No

Mailing Address

34841 Veterans Plz

Wayne, MI 481841733

Phone: 3132927640

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.