CONNOR KEONI JEWELL


Address: 1206 Clinton Rd, Jackson, MI 49202-2005
Phone: 5177834250

CONNOR KEONI JEWELL (NPI# 1205485497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205485497
Entity Type Individual
Full Name CONNOR KEONI JEWELL
Credential MA, LLPC
Practice Address 1206 Clinton Rd
Jackson
MI 49202-2005
Practice Telephone 5177834250
Practice Fax Number 5176283217
Mailing Telephone 5177834250
Mailing Fax Number 5176283217
Enumeration Date 2019-09-10
Last Update Date 2019-09-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 1206 CLINTON RD
City JACKSON
State MI
Zip Code 49202-2005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720123706 Highfields Residential Treatment Facility, Emotionally Disturbed Children 1206 Clinton Rd, Jackson, MI 49202-2005 2007-02-20
1801400536 Alisha Shepherd Social Worker 1206 Clinton Rd, Jackson, MI 49202-2005 2020-09-01
1235755836 Siara Underwood Social Worker 1206 Clinton Rd, Jackson, MI 49202-2005 2020-06-19
1265057152 Kyleigh Lessard Case Manager/Care Coordinator 1206 Clinton Rd, Jackson, MI 49202-2005 2020-06-16
1639793680 Andrew Huguelet Community/Behavioral Health 1206 Clinton Rd, Jackson, MI 49202-2005 2020-06-05
1720601073 Andrea Schneider Counselor 1206 Clinton Rd, Jackson, MI 49202-2005 2020-05-21
1407476526 Rene Ayanna Amsterdam Social Worker 1206 Clinton Rd, Jackson, MI 49202-2005 2020-04-18
1851946669 Nathaniel Owsley Social Worker 1206 Clinton Rd, Jackson, MI 49202-2005 2019-08-08
1366912297 Lizette Elgabalawi Social Worker 1206 Clinton Rd, Jackson, MI 49202-2005 2018-12-04
1861979320 Christine Susan Delagrange Counselor 1206 Clinton Rd, Jackson, MI 49202-2005 2018-07-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821590316 Leslie Dominique Barroso Social Worker 834 Kennedy St, Jackson, MI 49202 2018-03-01
1073011136 Nicole Szarek Social Worker 1200 N. West Ave, Jackson, MI 49202 2018-01-24
1598299430 Cedric Griffin Behavior Technician 950 W. Monroe St, Jackson, MI 49202 2017-04-18
1285081612 Patricia Decker Psychologist 950 West Monroe, Suite 500, Jackson, MI 49202 2016-05-16
1619344314 Erica Ries Social Worker 1200 N West Ave Ste 800, Jackson, MI 49202 2015-08-28
1184007189 Sarah Johnson Behavioral Analyst 818 Winifred St, Jackson, MI 49202 2015-07-08
1871971697 Scott A Watterson Dds, Pllc Dentist 1030 Laurence Ave, Suite 3, Jackson, MI 49202 2015-05-13
1043608680 Brenda Beverly Counselor 1190 West, 1190 West Suite 812, Jackson, MI 49202 2015-01-06
1295091593 Natalie Ann Kember Social Worker 1206 Clinton, Jackson, MI 49202 2012-04-11
1912218728 Tina Marie Pierce Respite Care 225 N Wisner St, Jakson, MI 49202 2010-06-25
Find all providers in zip 49202

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477169423 Chiquita Minor Hampton Counselor 3433 Exchange Dr, Jackson, MS 39212-4818 2020-09-16
1457986390 Comfort Zone Counseling LLC Counselor 209 E Washington Ave Ste 330-d, Jackson, MI 49201-2393 2020-03-11
1255976825 April Sue Montague Counselor 401 S Mechanic St, Jackson, MI 49201-2350 2019-11-07
1851950356 Trunorth Counseling, Pllc Counselor 1312 Warren Ave, Upper Level, Rm #1, Jackson, MI 49203-3732 2019-06-08
1083176218 Mindful Solutions, LLC Counselor 4500 I 55 N Ste 230, Jackson, MS 39211-5930 2019-04-05
1841757630 Susan E Cumings Counselor 2811 W Morrell St, Jackson, MI 49203-2643 2019-02-27
1285108357 Eric Wood Counselor 4623 Maurey Rd, Jackson, MS 39211 2019-01-11
1619448669 Toby Ribiat Counselor 10 Partree Rd, Jackson, NJ 08527-1710 2018-12-16
1679077242 Lifespring Counseling Services Counselor 2938 E Michigan Ave, Jackson, MI 49202-3846 2018-03-20
1164920898 Michael Anderson Counselor 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 2018-01-29
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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