NPIMap

Organization Active NPI

P O W E R People Organized Working Evolving Reaching

  • Community/Behavioral Health Agency
  • Ypsilanti, MI
National Provider Identifier
1124325964
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801035881
Legal business name
P O W E R PEOPLE ORGANIZED WORKING EVOLVING REACHING
Practice address
301 W Michigan Ave
Ypsilanti, MI 48197-5450
Phone
(734) 961-1990
Fax
(734) 961-1996
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. Carol V Burrell-Jackson, MSW, LMSW
Title
Executive Director
Phone
(734) 961-1990

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1447450226 MI
Community/Behavioral Health Agency 251S00000X 6801035881 Primary
Community/Behavioral Health Agency 251S00000X 1184818700 MI
Community/Behavioral Health Agency 251S00000X 1447450226 MI

Addresses

Primary practice location

301 W Michigan Ave
Ypsilanti, MI 48197-5450

Mailing address

301 W Michigan Ave
Ypsilanti, MI 48197-5450
Phone (734) 961-1990

Other identifiers 1

IdentifierTypeStateIssuer
P146711OtherMIBCBS ID #

Other names 1

  • P O W E R INC Other name

National Provider Directory

National Provider Directory

Locations

3810 Packard St
Ste 250
Ann Arbor, MI 48108
Phone (734) 929-6509

301 W Michigan Ave
Ypsilanti, MI 48197
Phone (734) 221-5440

103 Arnet St
Ypsilanti, MI 48198
Phone (734) 481-0111

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1124325964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MICHIGAN AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975450",
            "telephone_number": "734-961-1990",
            "fax_number": "734-961-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MICHIGAN AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975450",
            "telephone_number": "734-961-1990",
            "fax_number": "734-961-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P O W E R PEOPLE ORGANIZED WORKING EVOLVING REACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "BURRELL-JACKSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-961-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "1447450226",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "6801035881",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "1184818700",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "1447450226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "P146711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P O W E R INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.