Jennifer Delazzari, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451022186 Issued in MI

Practice address

41800 Hayes Rd Ste 208
Clinton Township, MI 48038-1876

Phone

(586) 203-2170

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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.

• Lifeline Center, PLLC

  • Community/Behavioral Health Agency
  • Clinton Township, MI
  • NPI 1316351992
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1114649746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38096 JOHANNES DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41800 HAYES RD STE 208",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381876",
            "telephone_number": "586-203-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAZZARI",
        "first_name": "JENNIFER",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Rose Defalco
• Crystal Marie Degrandchamp, MA, LLPC
• Jodi Lynne Dejaeghere
• Daniel Dekorse
• Carrie Dekoski
• Jerel Eugene Deldotto, PHD
• Sharna Deluca
• Alexis Demchyna
• David William Demello, D.O.
• Robert Edward Demercurio, D.O.

• Mental Health Counselor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.