Jessica M Griffioen, MA, LLPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401019483 Issued in MI

Practice address

5900 Portage Rd
Portage, MI 49002-1774

Phone

(269) 388-3839

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Portage Family Healing LLC

  • Professional Counselor
  • Portage, MI
  • NPI 1114615572
  NPD Authorized official

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1093319907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 S 25TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490489745",
            "telephone_number": "269-873-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021774",
            "telephone_number": "269-388-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIOEN",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "MA, LLPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varquwon Lamar Green
• Emily Greenhalgh
• Erinn Raeda Greenman
• Dietmar J Grentz, MD
• Julie Lynn Griffin, ATC, AT
• Heidi L Griggs, DO
• Growth Mindset Counseling, PLLC
• Francis A Grubelich, MD
• Amy Marie Gruver, LMT
• Jennifer Grzegorczyk, LLMSW

• Professional Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.