Jenelle K. Leib, Ma LPC, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JENELLE K. LEIB, MA LPC, PLLC

Doing business as

Green Lotus Professional Counseling Services

Practice address

306 E Broadway St Ste 4a
Mount Pleasant, MI 48858-2659

Phone

(989) 572-0004

Fax

(989) 702-2266

NPI assigned

Aug 3, 2021

Last updated

Aug 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenelle K Leib, MA LPCNPI 1225385362

Title

LPC

Phone

(989) 572-0004

Specialties & licenses 1

Addresses

Other names 1

• Green Lotus Professional Counseling Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenelle Kathlyn Leib, M.A., L.P.C.

  • Counselor
  • Mt Pleasant, MI
  • NPI 1225385362
  NPD (past) Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1083388128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E BROADWAY ST STE 4A",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582659",
            "telephone_number": "989-572-0004",
            "fax_number": "989-702-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E BROADWAY ST STE 4A",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582659",
            "telephone_number": "989-572-0004",
            "fax_number": "989-702-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENELLE K. LEIB, MA LPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "LEIB",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "989-572-0004",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Lotus Professional Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tejas Prakashchandra Jambudi, RPT
• Jessica Marie Jaques
• Roy G Jarman Jr., DDS ORAL MAXILLOFACI
• JB Eye Associates, P.C.
• Jeffrey a. Khabir, MD, PLLC
• Grace Kay Jenkins
• Tristan Jenkins
• Emily S Jennings, CLC
• Renay Jensen
• Edward Jeon, PA

• Professional Counselor in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.