Active NPI
Ocd and Anxiety Michigan, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Birmingham, MI
National Provider Identifier
1154884948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- OCD and Anxiety Carolinas
- West Bay Mental Wellness, PLLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Traverse City, MI
- NPI 1841443884
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.