MR. JACK EUGENE BETTS (NPI# 1275053241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275053241 |
| Entity Type | Individual |
| Full Name | MR. JACK EUGENE BETTS |
| Credential | MA, LPC |
| Practice Address |
43630 Hayes Rd Ste 120 Clinton Township MI 48038-3536 |
| Mailing Address |
18045 Muirland St. Detroit MI 48221-2754 |
| Practice Telephone | 5864121510 |
| Practice Fax Number | 5864121508 |
| Mailing Telephone | 3138620568 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401000234 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871728659 | Jack Howard Betts | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2009-05-21 |
| Street Address |
43630 HAYES RD STE 120 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469087 | Etasha Simone Harper | Counselor | 24370 N Grange St Apt 58a, Clinton Township, MI 48036-3072 | 2020-02-19 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1417434648 | Development Associates | Counselor | 41800 Hayes Rd Ste 138, Clinton Township, MI 48038-1876 | 2018-07-20 |
| 1255884334 | Foundations Counseling Center | Counselor | 44126 Terricar Ln, Clinton Township, MI 48038-4498 | 2016-07-26 |
| 1235536152 | David Brown | Counselor | 38900 Harper Ave, Clinton Township, MI 48036-3222 | 2014-11-20 |
| 1063756724 | Michelle Cecilia Joiner | Counselor | 20632 Dunham Rd, Clinton Township, MI 48038-4452 | 2012-11-19 |
| 1962752543 | Cindy Michelle Whitwell | Counselor | 36975 Utica Rd Ste 104, Clinton Township, MI 48036-1685 | 2012-09-11 |
| 1205119930 | Sonja Lee Thayer | Counselor | 44444 Hayes Rd, Clinton Township, MI 48038-7600 | 2011-09-20 |
| 1952562548 | Tonya Therese Rice | Counselor | 37211 Harper Ave Ste 2a, Clinton Township, MI 48036-3074 | 2008-06-17 |
| 1972671865 | Daniel John Schluckbier | Counselor | 15945 Canal, Catholic Services of Macomb, Clinton Township, MI 48038 | 2006-12-01 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on MR. JACK EUGENE BETTS.
| 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.