Active NPI
Jennifer Michael, MA TLLP
- Counseling Psychologist
- Jackson, MI
National Provider Identifier
1124156088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- L754897
- Practice address
- 1200 N West Ave Ste 400
Jackson, MI 49202-2180 - Phone
- (517) 262-0487
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | L754897 | MI | Primary |
Addresses
Primary practice location
1200 N West Ave Ste 400
Jackson, MI 49202-2180
Mailing address
3872 Kirkwood St
Jackson, MI 49203-1130
Phone (517) 750-3928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L754897 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jen Gallagher Counseling LLC | Current | Accepting new patients | |
| LJ Gallagher Psy D and Associates PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Brooklyn, MI
- NPI 1740161967
-
- Psychologist
- Brooklyn, MI
- NPI 1518056365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124156088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3872 KIRKWOOD ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492031130",
"telephone_number": "517-750-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N WEST AVE STE 400",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022180",
"telephone_number": "517-262-0487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "JENNIFER",
"credential": "MA TLLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "L754897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
- Brianne Elizabeth Mezo, DDS
- MGM Cleaning Solutions, LLC
- MGM Home Care & Staffing, LLC
- Saeed Ahmed Mian, M.D.
- Donald Allen Michael, LLMSW, OTR/L
- Michigan Continuum Care PLLC
- Michigan Dentists PLLC
- Michigan Family Chiropractic-Jackson
- Michigan Family Practice, LLC
- Michigan Institute of Neurological Diseases, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.