Jeannine Alise Tyree, MRC, CRC, LLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401015860 Issued in MI

Practice address

28303 Joy Rd
Westland, MI 48185-5524

Phone

(734) 513-1122

Fax

(734) 421-1405

NPI assigned

Apr 18, 2018

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

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• K R Dinkins Enterprises LLC

  • Counselor
  • Southfield, MI
  • NPI 1922627058
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1083101729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CHICAGO BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021421",
            "telephone_number": "313-867-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28303 JOY RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481855524",
            "telephone_number": "734-513-1122",
            "fax_number": "734-421-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYREE",
        "first_name": "JEANNINE",
        "middle_name": "ALISE",
        "name_prefix": "Ms.",
        "credential": "MRC, CRC, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Tulppo, LPTA
• Crystal E Turbett, LLMSW
• Verna Jean Turkish, MD
• Michelle T Turner
• Tenaisia Turner
• Cynthia I Ubah, MD
• Collette Ubajiogu
• Ogechi A Ukaoha
• Ultracare OBGYN PLLC
• Abosede Mopelola Umoye

• Counselor in Westland, MI
• Providers in Westland, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.