Active NPI
Jennifer Bobicz, MA, LPC, NCC
- Professional Counselor
- Lambertville, MI
National Provider Identifier
1003127069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401008655
- Practice address
- 6530 Secor Rd
Lambertville, MI 48144-9456 - Phone
- (734) 854-7061
- NPI assigned
- Jun 24, 2010
- Last updated
- May 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401008655 | MI | Primary |
Addresses
Primary practice location
6530 Secor Rd
Lambertville, MI 48144-9456
Mailing address
6530 Secor Rd Ste 10
Lambertville, MI 48144-9456
Phone (734) 355-3140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401008655 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Care Connection LLC | Professional | Current | Accepting new patients |
Locations
6530 Secor Rd
Lambertville, MI 48144
6530 Secor Rd
Ste 10
Lambertville, MI 48144
Phone (419) 260-3637
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653177600000",
"number": "1003127069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6530 SECOR RD STE 10",
"city": "LAMBERTVILLE",
"state": "MI",
"postal_code": "481449456",
"telephone_number": "734-355-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 SECOR RD",
"city": "LAMBERTVILLE",
"state": "MI",
"postal_code": "481449456",
"telephone_number": "734-854-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBICZ",
"first_name": "JENNIFER",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2022-05-22",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401008655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lambertville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.