Anchor Up Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ANCHOR UP WELLNESS

Practice address

7417 Big BND
White Lake, MI 48383-4018

Phone

(629) 777-6007

Fax

(615) 679-3900

NPI assigned

Aug 19, 2024

Organization subpart

Yes

Parent organization

ANCHOR UP WELLNESSAs reported in NPPES

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

Authorized official

Name

Jaclyn Jean Lewinski, LPCNPI 1801924618

Title

Therapist

Phone

(629) 777-6007

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Part of

Anchor Up Wellness

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Lewinski, PHD, LPC

  • Professional Counselor
  • Eugene, OR
  • NPI 1801924618

  Mental Health, MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1013749050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 BIG BND",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483834018",
            "telephone_number": "629-777-6007",
            "fax_number": "615-679-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 BIG BND",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483834018",
            "telephone_number": "629-777-6007",
            "fax_number": "615-679-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3011 Poston Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031313",
            "country_code": "US",
            "telephone_number": "629-777-6007",
            "fax_number": "615-679-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANCHOR UP WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANCHOR UP WELLNESS",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "LEWINSKI",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "629-777-6007",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in White Lake, MI
• Providers in White Lake, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.