Jamie Artman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016824 Issued in MI

Practice address

595 Forest Ave Ste 7And11A
Plymouth, MI 48170-1775

Phone

(313) 670-2207

NPI assigned

Dec 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rebellious Healing Counseling and Consultation LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dearborn, MI
  • NPI 1104713254
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1013504638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 MAHAN ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201135",
            "telephone_number": "313-670-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 FOREST AVE STE 7AND11A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701775",
            "telephone_number": "313-670-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTMAN",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "6401016824",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBMT",
            "identifier": "13219",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://steppingstoneswellnesscenter.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "595 Forest Ave Ste 7And11A",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melinda Arnold
• Serena Arnold
• Yoana Magali Arreaga Bartolon
• Shiliyiah K Arrington
• Artistic Esthetics LLC
• Meenakshi Senthil Arul, M.D.
• Ruben Arze
• Asa RX
• Morgan A Asendorf
• Alexis Nicole Ashby, LMSW

• Professional Counselor in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.