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

Kiesha Jackson

Individual provider Mental Health Counselor · NPI 1477127611

Kiesha Jackson is a Mental Health Counselor in Inkster, Michigan. Qualified in 2022, 4 years ago. Registered with an NPI since 2021.

Years since qualifying
4
In the registry since
2021

Practice location Address checks out

30000 Hiveley St
Inkster, MI 48141-1089
Phone: (313) 218-6832
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1477127611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021
Mailing address22200 W 11 Mile Rd Unit 3663, Southfield, MI 48037-7107

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Inkster