MRS. JENNIFER NICHOLE SUSAN (NPI# 1417561945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417561945 |
Entity Type | Individual |
Full Name | MRS. JENNIFER NICHOLE SUSAN |
Credential | MA, LLPC |
Practice Address |
1080 Kirts Blvd Ste 100 Troy MI 48084-4853 |
Mailing Address |
16212 Timberview Dr Clinton Twp MI 48036-1655 |
Practice Telephone | 5867449902 |
Mailing Telephone | 5867449902 |
Enumeration Date | 2020-09-02 |
Last Update Date | 2020-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
MI | Behavioral Health & Social Service Providers |
Street Address |
1080 KIRTS BLVD STE 100 |
City | TROY |
State | MI |
Zip Code | 48084-4853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
Find all providers in zip 48084 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275151631 | Kristin Colleen Ansel | Counselor | 838 Norwich Dr, Troy, MI 48084-2630 | 2020-07-10 |
1376167221 | Paula Denyes, Ma, Lpc, LLC | Counselor | 5705 Whitfield Dr, Troy, MI 48098-5112 | 2020-06-05 |
1750914818 | Karen Haley Cersley | Counselor | 5578 Richmond Rd Ste 203, Troy, VA 22974-4421 | 2020-02-18 |
1750920922 | Kimberly Lynn Roberts | Counselor | 68 Shirley Dr, Troy, MO 63379-6304 | 2020-01-05 |
1619532165 | Leslie Myers | Counselor | 116 E Missoula Ave, Troy, MT 59935-5993 | 2019-05-09 |
1669933842 | Carrie Pardon | Counselor | 3668 Livernois Rd, Troy, MI 48083-5035 | 2019-03-28 |
1265999353 | Jaime Collins | Counselor | 2489 Derby Rd, Troy, MI 48084-2663 | 2019-02-25 |
1255804126 | Natalie Elizabeth Grierson | Counselor | 305 Public Sq Ste 1, Troy, OH 45373-3894 | 2019-01-03 |
1538630231 | Felicia K Ewing | Counselor | 197 E Us Highway 40, Troy, IL 62294-2262 | 2018-12-06 |
1881176105 | Mark Dixon Yancy Sr. | Counselor | 5869 Marble Dr, Troy, MI 48085-3967 | 2018-09-04 |
Find all providers in TROY |
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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.