Jennifer Brana
Individual provider Active NPI Mental Health Counselor · Jenison, MI
NPI 1174201131 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1174201131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6451023216 (MI)
- Practice address
- 1877 Georgetown Center Dr
Jenison, MI 49428-7137 - Phone
- (616) 795-0298
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023216 | MI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451023216 | MI | Yes |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1877 Georgetown Center Dr
Jenison, MI 49428-7137
Mailing address
7471 Medinah Dr
Hudsonville, MI 49426-7562
Other providers in Jenison, MI
- Terry Joe Bonebrake
- Elisabeth Leigh Boot
- Douglas Paul Borst
- Matthew Paul Borst
- Joel Bradley
- Catherine Branagan
- Karl O Breitweiser
- Alexis Bremer
- Brooke Nicole Brouwer
- Andrea Brown
All providers in Jenison, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.