Individual provider Active NPI

Jennifer Feil, LLPC

  • Counselor
  • Chesterfield, MI
National Provider Identifier
1225675655
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017752 Issued in MI
Practice address
32901 23 Mile Rd Ste 190
Chesterfield, MI 48047-4064
Phone
(248) 759-8092
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017752 MI Primary

Addresses

Primary practice location

32901 23 Mile Rd Ste 190
Chesterfield, MI 48047-4064

Mailing address

32767 Oakville Dr
Chesterfield, MI 48047-1954
Phone (586) 322-4108

Other practice location 1

1777 Axtell Dr
Troy, MI 48084-4404
Phone (248) 613-5377

Other names 1

  • Jennifer Pellecchia 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

State licenses

LicenseStateTypeSpecialty
6401017752MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Balance Past Accepting new patients
Macomb Therapy Group, PLLC Professional 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.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1225675655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32767 OAKVILLE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471954",
            "telephone_number": "586-322-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32901 23 MILE RD STE 190",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474064",
            "telephone_number": "248-759-8092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Axtell Dr",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844404",
            "country_code": "US",
            "telephone_number": "248-613-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEIL",
        "first_name": "JENNIFER",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PELLECCHIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.