Active NPI
Amanda Jeanne Garred, LLPC
- Counselor
- Jackson, MI
National Provider Identifier
1194168203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401010456
- Practice address
- 1206 Clinton Rd
Jackson, MI 49202-2005 - Phone
- (517) 783-4250
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401010456 | MI | Primary |
Addresses
Primary practice location
1206 Clinton Rd
Jackson, MI 49202-2005
Mailing address
1206 Clinton Rd
Jackson, MI 49202-2005
Phone (517) 783-4250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 386099698 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010456 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1194168203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 CLINTON RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022005",
"telephone_number": "517-783-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 CLINTON RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022005",
"telephone_number": "517-783-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRED",
"first_name": "AMANDA",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401010456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "386099698",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.