JENELLE MAZARIS (NPI# 1700247962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700247962 |
| Entity Type | Individual |
| Full Name | JENELLE MAZARIS |
| Practice Address |
705 S Main St Suite 280 Plymouth MI 48170-2089 |
| Mailing Address |
3694 Clarkston Rd Suite D Clarkston MI 48348-5213 |
| Practice Telephone | 7344543560 |
| Practice Fax Number | 7344543570 |
| Mailing Telephone | 2484100650 |
| Mailing Fax Number | 2483917478 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 4101006577 | MI | Behavioral Health & Social Service Providers |
| Street Address |
705 S MAIN ST SUITE 280 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386198059 | Invitro Genetics, LLC | Clinical Medical Laboratory | 705 S Main St, Plymouth, MI 48170-2089 | 2016-08-10 |
| 1730554395 | Breanna Dowis | Physical Therapy Assistant | 705 S Main St, 220, Plymouth, MI 48170-2089 | 2015-12-08 |
| 1881069763 | Hear Better Centers, LLC | Audiologist | 705 S Main St, Suite 205, Plymouth, MI 48170-2089 | 2015-12-03 |
| 1578937793 | Ryan Keeley | Physical Therapy Assistant | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-11-27 |
| 1952775876 | Lohitha Dinnipalle | Physical Therapist | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-11-16 |
| 1306217849 | Carol Timothy | Occupational Therapy Assistant | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-10-09 |
| 1134502644 | Steven Vaculik | Physical Therapist | 705 S Main St, Ste 220, Plymouth, MI 48170-2089 | 2015-07-01 |
| 1124409834 | Zain Shamoon | Marriage & Family Therapist | 705 S Main St, Suite 280, Plymouth, MI 48170-2089 | 2015-06-18 |
| 1508247545 | Carli Paoletti | Occupational Therapist | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-06-16 |
| 1851779599 | Eleanor Zaloom | Physical Therapist | 705 S Main St, Plymouth, MI 48170-2089 | 2015-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324077 | Jennifer Jasperson | Marriage & Family Therapist | 4345 Lawndale Ln N, Plymouth, MN 55446-1342 | 2020-01-03 |
| 1356844955 | Lindsay Nicole Keiser | Marriage & Family Therapist | 595 Forest Ave Ste 11b, Plymouth, MI 48170-1771 | 2018-03-10 |
| 1699140970 | Erika Workman | Marriage & Family Therapist | 212 Sandwich St, Plymouth, MA 02360-2438 | 2015-12-11 |
| 1538541347 | Pregnancy and Postpartum Support Minnesota | Marriage & Family Therapist | 1700 Niagara Ln N, Ste 201, Plymouth, MN 55447-4739 | 2015-06-29 |
| 1396151155 | Anne Merrill | Marriage & Family Therapist | 11129 Fellows Creek Dr, Plymouth, MI 48170-6359 | 2014-07-01 |
| 1992147144 | Brandy Tessa Brown | Marriage & Family Therapist | 1700 Niagara Ln N Ste 201, Plymouth, MN 55447-4911 | 2013-07-29 |
| 1699114934 | Justine Carlucci | Marriage & Family Therapist | 16 Samoset St, Plymouth, MA 02360-4544 | 2013-06-20 |
| 1154661833 | Jennifer Mcvann | Marriage & Family Therapist | 3370 Annapolis Ln N Ste C, Plymouth, MN 55447-5384 | 2013-02-18 |
| 1437419116 | Amy T Madson | Marriage & Family Therapist | 12800 Industrial Park Blvd Ste B50, Plymouth, MN 55441-3905 | 2012-05-29 |
| 1629346952 | Tamara Faye Phillips | Marriage & Family Therapist | 12805 Hwy 55 Ste 402, Plymouth, MN 55441-3868 | 2011-12-01 |
| Find all providers in PLYMOUTH | ||||
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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.