MRS. JENNIFER NICHOLE SUSAN


Address: 1080 Kirts Blvd Ste 100, Troy, MI 48084-4853
Phone: 5867449902

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
MI Behavioral Health & Social Service Providers

Office Location

Street Address 1080 KIRTS BLVD STE 100
City TROY
State MI
Zip Code 48084-4853

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City TROY
Zip Code 48084

Improve Information

Please comment or provide details below to improve the information on MRS. JENNIFER NICHOLE SUSAN.

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.

Trending Searches