Jessica S. Rock-Jackson, MA, LMFT
Marriage & Family Therapist in Clarkston, MI. Individual provider (NPI-1).
NPI number1497971063
StatusActive
Last updated in NPPESFeb 14, 2023
Details
- NPI
- 1497971063
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica S. Rock-Jackson
- Credential
- MA, LMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2007
- Certification date
- Feb 14, 2023
- Last updated
- Feb 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4101006859 | MI | Yes |
| 101Y00000X | Counselor | – | – | |
| 106H00000X | Marriage & Family Therapist | .0001239 | CO |
Practice location
6549 Town Center Dr Ste AClarkston, MI 48346-4824
Phone 800-395-3223
Mailing address
6549 Town Center Dr Ste AClarkston, MI 48346-4824
Phone 800-395-3223
Other practice locations
25836 E Maple Pl
Aurora, CO 80018-4596
Aurora, CO 80018-4596
Phone 415-283-6455
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Marriage & Family Therapist providers in Clarkston · All 1,567 providers in Clarkston
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