Individual provider Active NPI

Amanda Jones, MS

  • Case Manager/Care Coordinator
  • Flint, MI
National Provider Identifier
1194236232
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
6211 Taylor Dr
Flint, MI 48507-4665
Phone
(810) 237-0799
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6211 Taylor Dr
Flint, MI 48507-4665

Mailing address

PO Box 289
Mason, MI 48854-0289
Phone (517) 833-8100

Other practice location 1

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (586) 627-0024

Other practice location 2

41521 W 11 Mile Rd
Novi, MI 48375
Phone (248) 299-0030

Other practice location 3

41521 W 11 Mile Rd
Novi, MI 48375
Phone (248) 299-0030

Other names 1

  • Amanda Keshavarz Former name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Consumer Services, Inc. CurrentSince Apr 14, 2024 Accepting new patients

Locations

6211 Taylor Dr
Flint, MI 48507
Phone (810) 230-1318

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1194236232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540289",
            "telephone_number": "517-833-8100",
            "fax_number": "517-676-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 TAYLOR DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074665",
            "telephone_number": "810-237-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Groesbeck Hwy",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480431562",
            "country_code": "US",
            "telephone_number": "586-627-0024",
            "fax_number": "586-627-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41521 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "48375",
            "country_code": "US",
            "telephone_number": "248-299-0030",
            "fax_number": "248-912-1566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41521 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "48375",
            "country_code": "US",
            "telephone_number": "248-299-0030",
            "fax_number": "248-912-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMANDA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KESHAVARZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.