MR. JASON MICHAEL ELDRED (NPI# 1891200671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891200671 |
| Entity Type | Individual |
| Full Name | MR. JASON MICHAEL ELDRED |
| Credential | MA, LPC, CRC |
| Practice Address |
28025 Rockwood St Saint Clair Shores MI 48081-1407 |
| Practice Telephone | 5863351217 |
| Mailing Telephone | 5863351217 |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15000 Gratiot Ave, Detroit, MI 482051973 | 3132450649 | 3138396559 |
| Street Address |
28025 ROCKWOOD ST |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821634148 | Maria Michelle Putman | Counselor | 1260 Woodbridge St, Saint Clair Shores, MI 48080-1621 | 2019-11-21 |
| 1023552452 | Sameerah Davenport | Counselor | 22020 Greater Mack Ave, Saint Clair Shores, MI 48080-2369 | 2016-12-03 |
| 1942615372 | Takeisha Murray | Counselor | 22837 Grove St, Saint Clair Shores, MI 48080-1855 | 2014-06-24 |
| 1811260441 | Denise M. Arbaugh | Counselor | 20509 Shady Lane Ave, Saint Clair Shores, MI 48080-4219 | 2012-02-13 |
| 1538216254 | Maria R Lai | Counselor | 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207 | 2007-01-04 |
| 1760015937 | John Drop | Counselor | 22811 Greater Mack Ave Ste L2, Saint Clair Shores, MI 48080-2057 | 2020-02-17 |
| 1073075321 | Dana Elizabeth Ries | Counselor | 25401 Harper Ave, Saint Clair Shores, MI 48081-2240 | 2019-04-04 |
| 1497220917 | Stacey Lyn Molinaro | Counselor | 24715 Little Mack Ave, Saint Clair Shores, MI 48080-3207 | 2018-10-11 |
| 1467945956 | Christopher Lecznar | Counselor | 29750 Harper Ave, Saint Clair Shores, MI 48082-2607 | 2018-06-11 |
| 1750897799 | Charan M. Bashir | Counselor | 22811 Greater Mack Ave Ste L2, Saint Clair Shores, MI 48080-2057 | 2017-12-27 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on MR. JASON MICHAEL ELDRED.
| 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.