Active NPI
Karolina Jevaltaite-Harmon, LPC, LLMFT
- Professional Counselor
- Ada, MI
National Provider Identifier
1003451667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401017761
- Practice address
- 7195 Thornapple River Dr SE
Ada, MI 49301-8411 - Phone
- (616) 929-0248
- NPI assigned
- Nov 7, 2019
- 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 | 6401017761 | MI | Primary |
Addresses
Primary practice location
7195 Thornapple River Dr SE
Ada, MI 49301-8411
Mailing address
7195 Thornapple River Dr SE
Ada, MI 49301-8411
Other practice location 1
3612 Windwood Dr NE
Rockford, MI 49341-8357
Phone (616) 328-0860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | karolinaj@wefixbrains.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017761 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Sana Initiative, LLC | Professional | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1003451667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7195 THORNAPPLE RIVER DR SE",
"city": "ADA",
"state": "MI",
"postal_code": "493018411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7195 THORNAPPLE RIVER DR SE",
"city": "ADA",
"state": "MI",
"postal_code": "493018411",
"telephone_number": "616-929-0248"
}
],
"practiceLocations": [
{
"address_1": "3612 Windwood Dr NE",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "MI",
"postal_code": "493418357",
"country_code": "US",
"telephone_number": "616-328-0860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEVALTAITE-HARMON",
"first_name": "KAROLINA",
"name_prefix": "Ms.",
"credential": "LPC, LLMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017761",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "karolinaj@wefixbrains.com",
"affiliation": "N",
"address_1": "7195 Thornapple River Dr SE",
"city": "Ada",
"state": "MI",
"country_code": "US",
"postal_code": "493018411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.