Active NPI
Jeanette Elaine Owens, MA, LLPC
- Professional Counselor
- Waterford, MI
National Provider Identifier
1083963375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- L2083707
- Practice address
- 3525 Elizabeth Lake Rd
Waterford, MI 48328-3087 - Phone
- (248) 249-5453
- NPI assigned
- Sep 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | L2083707 | MI | |
| Mental Health Counselor | 101YM0800X | L2083707 | MI | |
| Professional Counselor | 101YP2500X | L2083707 | MI | Primary |
| Behavior Analyst | 103K00000X | L2083707 | MI |
Addresses
Primary practice location
3525 Elizabeth Lake Rd
Waterford, MI 48328-3087
Mailing address
3016 Havenwood Dr
White Lake, MI 48383-3903
Phone (248) 249-5453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2083707 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worry-Free Transportation, Inc. | Past | Accepting new patients | |
| Worry Free Counseling | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Waterford, MI
- NPI 1124377403
-
- Non-emergency Medical Transport (VAN)
- White Lake, MI
- NPI 1881864460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1083963375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 HAVENWOOD DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483833903",
"telephone_number": "248-249-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 ELIZABETH LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283087",
"telephone_number": "248-249-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JEANETTE",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-03",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "L2083707",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "L2083707",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "L2083707",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "L2083707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.