Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Jackson-Whitfield, MA/LBSW

Individual provider Mental Health Counselor · NPI 1649663196

Diana Jackson-Whitfield, MA/LBSW is a Mental Health Counselor in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-2475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802065185 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6802065185 (MI)

Record details

NPI number1649663196
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA/LBSW
Sole proprietorYes
NPI enumeratedMarch 9, 2015
Last updated in NPPESMarch 9, 2015

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