Active NPI
Amanda Jones, MS
- Case Manager/Care Coordinator
- Flint, MI
National Provider Identifier
1194236232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consumer Services, Inc. | Current | 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.
-
- Clinical Social Worker
- Mason, MI
- NPI 1700066339
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.