Individual provider Active NPI

Jillian Cantrell, LLMFT

  • Marriage & Family Therapist
  • Roseville, MI
National Provider Identifier
1164046215
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4151000213 Issued in MI
Practice address
28351 Gratiot Ave Ste 3
Roseville, MI 48066-4252
Phone
(586) 350-0400
NPI assigned
Jun 4, 2020
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4151000213 MI Primary

Addresses

Primary practice location

28351 Gratiot Ave Ste 3
Roseville, MI 48066-4252

Mailing address

28351 Gratiot Ave Ste 3
Roseville, MI 48066-4252
Phone (586) 350-0400

Other practice location 1

34841 Veterans Plz
Wayne, MI 48184-1733
Phone (313) 292-7640

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

State licenses

LicenseStateTypeSpecialty
4151000213MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Step at a Time Counseling Services, Inc. CurrentSince Jun 7, 2020 Accepting new patients

Locations

28351 Gratiot Ave
Ste 3
Roseville, MI 48066
Phone (586) 350-0400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1164046215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28351 GRATIOT AVE STE 3",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664252",
            "telephone_number": "586-350-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28351 GRATIOT AVE STE 3",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664252",
            "telephone_number": "586-350-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34841 Veterans Plz",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841733",
            "country_code": "US",
            "telephone_number": "313-292-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "JILLIAN",
        "credential": "LLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4151000213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.