Active NPI
New Direction Counseling Center, LLC
- Professional Counselor
- Jackson, MI
National Provider Identifier
1114496387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- NEW DIRECTION COUNSELING CENTER, LLC
- Practice address
- 1200 N West Ave Ste 809
Jackson, MI 49202-2196 - Phone
- (517) 257-7846
- NPI assigned
- Nov 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Maes, MA LPC NCC
- Title
- Licensed Professional Counselor
- Phone
- (517) 998-0999
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1200 N West Ave Ste 809
Jackson, MI 49202-2196
Mailing address
1200 N West Ave Ste 809
Jackson, MI 49202-2196
Phone (517) 998-0999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200305001862 | MI | Part B Supplier - Clinic/Group Practice | 1658708516 |
Receives reassigned benefits from 2 practitioners Practice locations: Jackson, MI |
National Provider Directory
National Provider DirectoryLocations
2536 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 939-9401
1200 N West Ave
Ste 809
Jackson, MI 49202
Phone (517) 300-7570
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lansing, MI
- NPI 1740099068
-
- Clinical Social Worker
- Pleasant Lake, MI
- NPI 1992443907
-
- Social Worker
- Jackson, MI
- NPI 1952356081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556064000000",
"number": "1114496387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N WEST AVE STE 809",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022196",
"telephone_number": "517-998-0999",
"fax_number": "517-998-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N WEST AVE STE 809",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022196",
"telephone_number": "517-257-7846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DIRECTION COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-17",
"last_updated": "2019-04-24",
"status": "A",
"authorized_official_last_name": "MAES",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "517-998-0999",
"authorized_official_credential": "MA LPC NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.