Organization Active NPI

Jma Consultation, LLC

  • Social Worker
  • Ypsilanti, MI
National Provider Identifier
1093291874
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
JMA CONSULTATION, LLC
Practice address
124 Pearl St Ste 304
Ypsilanti, MI 48197-2663
Phone
(734) 720-4888
Fax
(734) 720-4884
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Jeweletter M Anderson, LMSW, CAADCNPI 1467996090
Title
Owner and Clinician
Phone
(734) 720-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801098160 MI

Addresses

Primary practice location

124 Pearl St Ste 304
Ypsilanti, MI 48197-2663

Mailing address

124 Pearl St Ste 304
Ypsilanti, MI 48197-2663
Phone (734) 720-4888

Other practice location 1

8232 Valleyview Dr
Ypsilanti, MI 48197-8362
Phone (734) 747-0148

Other practice location 2

8232 Valleyview Dr
Ypsilanti, MI 48197-8362
Phone (734) 747-0148

Other identifiers 1

IdentifierTypeStateIssuer
1467996090MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jmaconsultation.org Direct

National Provider Directory

National Provider Directory

Locations

124 Pearl St
Ste 304
Ypsilanti, MI 48197
Phone (734) 719-0448

2080 Whittaker Rd
#259
Ypsilanti, MI 48197

4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1093291874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 304",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972663",
            "telephone_number": "734-720-4888",
            "fax_number": "734-720-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 304",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972663",
            "telephone_number": "734-720-4888",
            "fax_number": "734-720-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8232 Valleyview Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481978362",
            "country_code": "US",
            "telephone_number": "734-747-0148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8232 Valleyview Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481978362",
            "country_code": "US",
            "telephone_number": "734-747-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JMA CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JEWELETTER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER AND CLINICIAN",
        "authorized_official_telephone_number": "734-720-4888",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467996090",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jmaconsultation.org",
            "affiliation": "N",
            "endpointDescription": "Office Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "124 Pearl St Ste 304",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481972663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.