JORDYN HAVENS (NPI# 1578096483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578096483 |
| Entity Type | Individual |
| Full Name | JORDYN HAVENS |
| Credential | LPC |
| Practice Address |
26850 Providence Pkwy Ste 410 Novi MI 48374-1213 |
| Mailing Address |
231 Woodside Dr Ne Grand Rapids MI 49503-3846 |
| Practice Telephone | 2484654335 |
| Mailing Telephone | 7346345703 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401014332 | MI | Behavioral Health & Social Service Providers |
| Street Address |
26850 PROVIDENCE PKWY STE 410 |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354953 | Lara Azzi | Pediatrics | 26850 Providence Pkwy, Suite 455, Novi, MI 48374-1213 | 2005-05-27 |
| 1740723659 | Carmela Wilder | Social Worker | 26850 Providence Pkwy, Suite 205, Novi, MI 48374-1213 | 2016-11-24 |
| 1518413210 | Adam Mcclafferty | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2016-09-01 |
| 1336591973 | Jessica Wentworth | Nurse Practitioner | 26850 Providence Pkwy, Novi, MI 48374-1213 | 2016-07-07 |
| 1407233745 | Kha H. Ngo, D.o., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Ste 350, Novi, MI 48374-1213 | 2015-05-06 |
| 1629455423 | Serge A. Sorser, M.d., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Suite 350, Novi, MI 48374-1213 | 2015-04-30 |
| 1487052619 | Providence Park Internal Medicine PC | Internal Medicine | 26850 Providence Pkwy, Suite 450, Novi, MI 48374-1213 | 2014-12-22 |
| 1598161564 | Paul James Constantino | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2014-11-18 |
| 1306269436 | Northwest Eye Physicians, P.C. | Eyewear Supplier (Equipment, not the service) | 26850 Providence Pkwy, Suite 440, Novi, MI 48374-1213 | 2014-01-24 |
| 1306274493 | Elana Bodzin | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952932774 | Comeback Collaborations, LLC | Counselor | 28175 Haggerty Rd Ste 126, Novi, MI 48377-2903 | 2020-01-30 |
| 1366981524 | Desiree Balconi | Counselor | 44070 W 12 Mile Rd, Suite #200, Novi, MI 48377-2648 | 2017-02-20 |
| 1376909812 | Lorise Grey | Counselor | 41818 Brownstone Dr, Novi, MI 48377-4802 | 2016-01-13 |
| 1083087373 | Nadia Samhouri Sater | Counselor | 27093 Ladbroke St, Novi, MI 48374-1006 | 2015-11-09 |
| 1407230626 | Roberta Annette Cross | Counselor | 44070 W 12 Mile Rd Ste 200, Novi, MI 48377-2648 | 2015-07-17 |
| 1427335074 | Lynn Jarrett | Counselor | 50200 W 10 Mile Rd, Novi, MI 48374-2617 | 2011-11-10 |
| 1023301538 | Michelle Rice Ghee | Counselor | 22226 Solomon Blvd, 232, Novi, MI 48375-5074 | 2011-05-17 |
| 1689188500 | Charisse Monique Staine | Counselor | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2017-11-30 |
| 1558800631 | Lyn Spence | Counselor | 44070 W 12 Mile Rd, Suite 200, Novi, MI 48377-2648 | 2017-02-22 |
| 1285091462 | Yolanda Edwards | Counselor | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-01-20 |
| Find all providers in NOVI | ||||
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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.