Organization Active NPI

Ocd and Anxiety Michigan, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Birmingham, MI
National Provider Identifier
1154884948
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OCD AND ANXIETY MICHIGAN, PLLC
Practice address
135 N Old Woodward Ave Ste 200
Birmingham, MI 48009-3341
Phone
(231) 256-1167
Fax
(231) 525-2147
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Ms. Jennifer Lyn Overton, LMSW-C, LCSW, LISW-CNPI 1841443884
Title
Owner, Clinician
Phone
(231) 256-1167

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

135 N Old Woodward Ave Ste 200
Birmingham, MI 48009-3341

Mailing address

PO Box 482
Empire, MI 49630-0482
Phone (231) 256-1167

Other names 3

  • Leelanau Inner Wellness Doing business as
  • OCD and Anxiety Carolinas Doing business as
  • West Bay Mental Wellness, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

120 E Front St
Ste 2
Traverse City, MI 49684
Phone (231) 256-1167

428 S Main St
Ste 1050B
Davidson, NC 28036
Phone (704) 237-0356

Practitioners & affiliated clinicians

Practitioners 1

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": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1154884948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 482",
            "city": "EMPIRE",
            "state": "MI",
            "postal_code": "496300482",
            "telephone_number": "231-256-1167",
            "fax_number": "231-252-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N OLD WOODWARD AVE STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093341",
            "telephone_number": "231-256-1167",
            "fax_number": "231-525-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCD AND ANXIETY MICHIGAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "231-256-1167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW-C, LCSW, LISW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leelanau Inner Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OCD and Anxiety Carolinas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Bay Mental Wellness, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.