Somatic Healing Psychotherapy, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOMATIC HEALING PSYCHOTHERAPY, LLC

Practice address

1785 W Stadium Blvd
Ann Arbor, MI 48103-5285

Phone

(734) 652-8194

NPI assigned

Feb 12, 2024

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jennifer N Burrous, LMSWNPI 1023650348

Title

Therapist

Phone

(734) 652-8194

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Burrous

  • Clinical Social Worker
  • Monroe, MI
  • NPI 1023650348
  NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1205690070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 SAINT JAMES PARK AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619086",
            "telephone_number": "734-652-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285",
            "telephone_number": "734-652-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC HEALING PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "BURROUS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "734-652-8194",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Solon, MA CCC-SLP
• Mohammad Soltani, M.D.
• Soma Cultura
• David Michael Somand, MD
• Nitin Somasundaram, MD
• Esther Someah-Kwaw, LMSW, LCSW
• Whitney Morgan Sommerville, AUD
• Amruta Sonavaria
• Tyler Sampson Soncrant, MD
• L Paul Sonda, MD

• Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.