EDWARD MANCILE JEFFERSON JR.


Address: 2800 W Willow St, Lansing, MI 48917-1833
Phone: 5173234734

EDWARD MANCILE JEFFERSON JR. (NPI# 1891203998) 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) 1891203998
Entity Type Individual
Full Name EDWARD MANCILE JEFFERSON JR.
Practice Address 2800 W Willow St
Lansing
MI 48917-1833
Practice Telephone 5173234734
Practice Fax Number 5178861158
Mailing Telephone 5173234734
Mailing Fax Number 5175561158
Enumeration Date 2018-01-11
Last Update Date 2018-01-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401015665 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 6401015664 05

Office Location

Street Address 2800 W WILLOW ST
City LANSING
State MI
Zip Code 48917-1833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457392599 Mary Helen Thomas Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2006-06-09
1447880554 Kelsey Kaczor Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2020-01-17
1396394946 Brittiany Town Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2019-09-06
1528629771 Savannaugh Kennedy Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2019-06-27
1689156440 Joseph R Fritchley Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2018-08-29
1932695889 Jessica Flewelling Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2018-07-03
1528550720 Jeffrey Claude Loucks Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2018-06-04
1770002719 Holly Flickinger Counselor 2800 W Willow St, Lansing, MI 48917-1833 2017-09-11
1306368675 Whitney Banks Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2017-07-08
1639602725 Heather Akers Social Worker 2800 W Willow St, Lansing, MI 48917-1833 2017-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053937102 Tawni Klein Speech-Language Pathologist 701 Snow Rd Suite A, Lansing, MI 48917 2020-06-24
1639700545 Steevens Pierre Mirville Technician 5814 Cabrena Drive, Lansing, MI 48917 2020-01-29
1376197830 Cheryl Ann Day Physical Therapist 7107 Treasure Isle, Lansing, MI 48917 2019-08-01
1912423849 National Seating & Mobility, Inc Durable Medical Equipment & Medical Supplies 419 Lentz Ct, Lansing, MI 48917 2017-08-22
1215367149 Thomas Ball Pharmacist 5125 W Saginaw, Lansing, MI 48917 2013-11-13
1144658659 Eaton Care Center, LLC Skilled Nursing Facility 12200 Broadbent, Lansing, MI 48917 2013-10-18
1154768596 Casey Stokes Physical Therapist 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 2013-05-24
1164774659 Bona Birki Gada Pharmacist 2410 W. Willow St, Apt A203, Lansing, MI 48917 2012-10-08
1497037584 Fms Lansing, LLC Clinic/Center 916 Mall Drive East, Suite 100, Lansing, MI 48917 2011-09-14
1326332396 Talitha P Easterly Psychologist 302 South Waverly, Suite 1, Lansing, MI 48917 2011-06-07
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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
1710597943 Latoya Sevier Counselor 2855 192nd St, Lansing, IL 60438-3717 2020-08-03
1689293268 Lotus Life Counseling LLC Counselor 1106 N Cedar St Ste 200b, Lansing, MI 48906-5334 2020-04-13
1427603687 Peace & Harmony Counseling Services, LLC Counselor 1100 W Saginaw St Ste 3c, Lansing, MI 48915-2033 2019-08-05
1578115812 Allysa Pennington Counselor 812 E Jolly Rd Ste 211, Lansing, MI 48910-6821 2019-07-16
1669939815 Key Concepts Counseling and Consulting Counselor 2517 E Mount Hope Ave Ste 12, Lansing, MI 48910-1924 2019-02-25
1487126595 Mallory Godin Counselor 14509 Boichot Rd, Lansing, MI 48906 2018-12-31
1134690662 Professional Counselors of Lansing LLC Counselor 913 W Holmes Rd Ste 139, Lansing, MI 48910-0436 2018-12-10
1245709948 Mallori Mangus-hayden Counselor 936 W Edgewood Boulevarde # 170, Lansing, MI 48911-5582 2018-11-26
1699259556 Shelton Rehabilitation Consulting, LLC Counselor 1032 N Capitol Ave, Lansing, MI 48906-4823 2018-09-17
1437652211 Lauren Elizabeth Whaley Counselor 1112 Berten St, Lansing, MI 48910-1214 2018-03-17
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Competitor

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City LANSING
Zip Code 48917

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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.

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