Active NPI
Nishani Jayawardena, LPC, NCC
- Professional Counselor
- Rochester Hills, MI
National Provider Identifier
1013567700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401222279
- Practice address
- 145 Rochdale Dr S Ste F
Rochester Hills, MI 48309-2275 - Phone
- (248) 608-4514
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 6401222279 | MI | Primary |
Addresses
Primary practice location
145 Rochdale Dr S Ste F
Rochester Hills, MI 48309-2275
Mailing address
226 Hendrie St
Detroit, MI 48202-3734
Phone (989) 941-6821
Other practice location 1
2925 Russell St
Detroit, MI 48207-4825
Phone (133) 396-5300
Other practice location 2
226 Hendrie St
Detroit, MI 48202-3734
Phone (201) 968-6934
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 |
|---|---|---|---|
| 6401222279 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attunigrate LLC | Professional | Current | Accepting new patients |
| Tree of Life Counseling Services LLC | Professional | Past | Accepting new patients |
Locations
47610 Grand River Ave
Novi, MI 48374
Phone (248) 422-2440
Organizations & group practices 2
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.
-
- Professional Counselor
- Detroit, MI
- NPI 1720710908
-
- Professional Counselor
- Rochester Hills, MI
- NPI 1023537495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654905600000",
"number": "1013567700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 HENDRIE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023734",
"telephone_number": "989-941-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 ROCHDALE DR S STE F",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483092275",
"telephone_number": "248-608-4514"
}
],
"practiceLocations": [
{
"address_1": "2925 Russell St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482074825",
"country_code": "US",
"telephone_number": "133-396-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "226 Hendrie St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023734",
"country_code": "US",
"telephone_number": "201-968-6934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAYAWARDENA",
"first_name": "NISHANI",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2022-06-11",
"certification_date": "2022-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401222279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.