MS. JENNIFER ANNE KYMLA (NPI# 1346506300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346506300 |
Entity Type | Individual |
Full Name | MS. JENNIFER ANNE KYMLA |
Credential | LMSW |
Practice Address |
22170 West Nine Road Southfield MI 48033 |
Mailing Address |
22170 W 9 Mile Rd Southfield MI 48033-6007 |
Practice Telephone | 5868504519 |
Mailing Telephone | 2483726804 |
Enumeration Date | 2012-04-04 |
Last Update Date | 2019-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801089077 | MI | Behavioral Health & Social Service Providers |
Street Address |
22170 WEST NINE ROAD |
City | SOUTHFIELD |
State | MI |
Zip Code | 48033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
Find all providers in zip 48033 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104459635 | Jaron Varner | Counselor | 18977 W 10 Mile Rd Ste 100a, Southfield, MI 48075-2627 | 2020-02-12 |
1750922332 | Flexx Counseling, Pllc | Counselor | 16250 Northland Dr Ste 103, Southfield, MI 48075-5226 | 2019-10-04 |
1902458300 | True Thoughts LLC | Counselor | 22511 Telegraph Rd Ste 129, Southfield, MI 48033-4115 | 2019-07-15 |
1912469115 | Moss Therapy and Wellness, Pllc | Counselor | 17350 W 10 Mile Rd, Southfield, MI 48075-2929 | 2019-04-05 |
1023580271 | Jamika Diane Harris | Counselor | 29260 Franklin Rd Ste 123, Southfield, MI 48034-1144 | 2018-12-28 |
1275020075 | Faith Shenay Williams | Counselor | 24363 Evergreen Rd, Southfield, MI 48075-5524 | 2018-04-17 |
1912411182 | Robert Stewart II | Counselor | 19319 Birchridge St, Southfield, MI 48075-5837 | 2017-11-27 |
1417487828 | Pleasant Care Adult Day Care LLC | Counselor | 30308 Southfield Rd Apt 60a, Southfield, MI 48076-1338 | 2017-06-18 |
1932645025 | Higher Heights Counseling Services, LLC | Counselor | 26677 W 12 Mile Rd Ste 111, Ste 111, Southfield, MI 48034-1514 | 2017-01-12 |
1356898829 | Elaina Nicole Gardner | Counselor | 30640 Longcrest St, Southfield, MI 48076-1562 | 2016-09-01 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48033 |
Please comment or provide details below to improve the information on MS. JENNIFER ANNE KYMLA.
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.