Paul Jannakos

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

L118310 Issued in MI

Practice address

2325 W Shiawassee Ave
Suite 105
Fenton, MI 48430-1792

Phone

(810) 965-8670

Fax

(810) 213-0132

NPI assigned

Nov 29, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1023385481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W SHIAWASSEE AVE",
            "address_2": "SUITE 105",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301792",
            "telephone_number": "810-629-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W SHIAWASSEE AVE",
            "address_2": "SUITE 105",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301792",
            "telephone_number": "810-965-8670",
            "fax_number": "810-213-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNAKOS",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L118310",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "L118310",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "L118310",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "L118310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Jacobs, PHARMD
• James C Reeves, O.D.P.C.
• James S Garfield DO PC
• Wendy Lou Jamrog, MSW
• Chelsea Janes
• Kylayha D Jefferson
• Angela Jennings, LMT
• Jo Ann Johnson, D.O.
• Ashley Nicole Jones
• Grover Jones III

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.