Jennifer Bobicz, MA, LPC, NCC

Individual provider Active NPI Professional Counselor · Lambertville, MI

NPI 1003127069 · NPPES record last updated May 22, 2022

Key facts

NPI
1003127069
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401008655 (MI)
Practice address
6530 Secor Rd
Lambertville, MI 48144-9456
Phone
(734) 854-7061
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401008655MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Care Connection LLC Professional Current
since Feb 1, 2022
Accepting new patients

Locations

6530 Secor Rd
Ste 10
Lambertville, MI 48144
Phone (419) 260-3637

6530 Secor Rd
Lambertville, MI 48144

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008655 MI Yes

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

Other providers in Lambertville, MI

All providers in Lambertville, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.