Jennifer Monique Prestenbach, M.A., L.L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012885 Issued in MI

Practice address

735 Woodbine Dr
Fenton, MI 48430-1422

Phone

(810) 597-7723

NPI assigned

Feb 3, 2012

Last updated

Feb 3, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ismail B. Sendi, MD, PC

  dba New Oakland Child-Adolescent and Family Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarkston, MI
  • NPI 1609882067
  NPD
• Ismail B. Sendi, MD, PC

  dba New Oakland Child-Adolescent and Family Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton Township, MI
  • NPI 1932370988
  NPD

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1104198332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 WOODBINE DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301422",
            "telephone_number": "810-597-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 WOODBINE DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301422",
            "telephone_number": "810-597-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTENBACH",
        "first_name": "JENNIFER",
        "middle_name": "MONIQUE",
        "credential": "M.A., L.L.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Posey, RMA
• Dane Erick Potochny, MPT
• Allison Pouliot
• Yana Poulos, ND
• Premier Dialysis Service Central Michigan LLC
• Primary Care Medicine, PC
• Priority Anesthesia Staffing
• Chandra K Puttagunta, MD
• Rachor Dental Care
• James Michael Rachor, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.