Emily Dejong, PHD, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006413 Issued in MI

Practice address

904 E Preston Rd
Mount Pleasant, MI 48858-3921

Phone

(989) 317-4664

Fax

(898) 317-3418

NPI assigned

Oct 31, 2013

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Counseling of Mid MichiganGroup PAC ID 4789029752, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Christian Counseling of Mid Michigan

  • Mental Health Counselor
  • Mount Pleasant, MI
  • NPI 1366879231

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1083042998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E PRESTON RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583921",
            "telephone_number": "989-317-4664",
            "fax_number": "989-317-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E PRESTON RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583921",
            "telephone_number": "989-317-4664",
            "fax_number": "898-317-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJONG",
        "first_name": "EMILY",
        "credential": "PHD, L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric L Decker, PHARMD
• Tamara Ruth Decker
• Sage Deemer
• Kaylee A Deering
• Ryan Dehaan
• Lexi Angilee Del Toro
• Kylie Marie Delre
• Keegan L Demara
• Jodi Demarrow
• Juliette Demerell

• Marriage & Family Therapist in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.