Active NPI
Jennifer Le-Ann Sofranski, MA, TLLP
- Assistant Behavior Analyst
- Detroit, MI
National Provider Identifier
1225543010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 400 Renaissance Ctr Ste 2600
Detroit, MI 48243 - Phone
- (855) 832-6727
- NPI assigned
- Dec 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301017324 | MI | |
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
400 Renaissance Ctr Ste 2600
Detroit, MI 48243
Mailing address
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1502
Other practice location 1
32961 Middlebelt Rd
Farmington Hills, MI 48334-1773
Phone (248) 855-1540
Other practice location 2
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1502
Phone (855) 832-6727
Other practice location 3
32961 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 855-1540
Other practice location 4
1777 Axtell Dr Ste 100
Troy, MI 48084-4400
Phone (248) 613-5377
Other practice location 5
32961 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 855-1540
Other practice location 6
44899 Centre Ct Ste 102
Clinton Twp, MI 48038-5510
Phone (586) 792-1654
Other practice location 7
43249 Carlyle Pl
Clinton Twp, MI 48038-6185
Phone (586) 453-8689
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301017324 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joak American Homes, Inc. | Past | Accepting new patients | |
| County of Macomb | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Mount Clemens, MI
- NPI 1760462253
-
- Case Management Agency
- Clinton Township, MI
- NPI 1386841104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1225543010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RENAISSANCE CTR STE 2600",
"city": "DETROIT",
"state": "MI",
"postal_code": "482431502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 RENAISSANCE CTR STE 2600",
"city": "DETROIT",
"state": "MI",
"postal_code": "48243",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [
{
"address_1": "32961 Middlebelt Rd",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483341773",
"country_code": "US",
"telephone_number": "248-855-1540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Renaissance Ctr Ste 2600",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482431502",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32961 Middlebelt Rd",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "48334",
"country_code": "US",
"telephone_number": "248-855-1540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1777 Axtell Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480844400",
"country_code": "US",
"telephone_number": "248-613-5377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32961 Middlebelt Rd",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "48334",
"country_code": "US",
"telephone_number": "248-855-1540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44899 Centre Ct Ste 102",
"address_purpose": "LOCATION",
"city": "Clinton Twp",
"state": "MI",
"postal_code": "480385510",
"country_code": "US",
"telephone_number": "586-792-1654",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43249 Carlyle Pl",
"address_purpose": "LOCATION",
"city": "Clinton Twp",
"state": "MI",
"postal_code": "480386185",
"country_code": "US",
"telephone_number": "586-453-8689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOFRANSKI",
"first_name": "JENNIFER",
"middle_name": "LE-ANN",
"credential": "MA, TLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-03",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301017324",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.