Jackson Healing
Jackson Healing is a healthcare organization registered as Clinic/Center in Jackson, MI, holding Type 2 (organization) NPI 1114738499 since 2025. The authorized official on file is Heather Goolsby, Master Clinicican.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114738499 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Healing |
| Practice address | 720 W FRANKLIN ST, Jackson, MI, 49201 |
| Phone | 7347264038 |
| Fax | 5179055906 |
| Enumeration date | 2025-01-16 |
| Last updated in NPPES | 2025-01-16 |
Authorized official
| Name | Heather Goolsby |
|---|---|
| Title | Master Clinicican |
| Phone | 5175814710 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Secondary | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Secondary | — | — |
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Jackson Healing NPI: 1114738499 Taxonomy: 261Q00000X (Clinic/Center) Address: 720 W FRANKLIN ST, Jackson, MI, 49201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104889674 | Naseer Humayun | Individual | Pediatric Adolescent Medicine Physician | Jackson, MI |
| 1306003538 | Greenwood Pediatrics | Organization | Pediatrics Physician | Jackson, MI |
| 1629677893 | Jackson Healing Clinic LLC | Organization | Mental Health Counselor | Jackson, MI |
| 1902628571 | Emily Kapp | Individual | Mental Health Counselor | Jackson, MI |
| 1750210423 | Stephanie Fisher | Individual | Mental Health Counselor | Jackson, MI |
| 1881524585 | Michael Spayde | Individual | Clinical Social Worker | Jackson, MI |
| 1942130653 | Justice Willis | Individual | Mental Health Counselor | Jackson, MI |
| 1376476549 | Kristi Staib | Individual | Mental Health Counselor | Jackson, MI |
Verify this record
Cross-check NPI 1114738499 against the authoritative CMS record: view Jackson Healing on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Jackson Healing?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-01-16.