Individual provider Active NPI

Jeanne M Harper, MPS, FT, BCETS, LBSW

  • Social Worker
  • Menominee, MI
National Provider Identifier
1235212960
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802065750 Issued in MI
Practice address
447 1St St
Menominee, MI 49858-3307
Phone
(906) 864-2590
Fax
(906) 864-3058
NPI assigned
Oct 24, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802065750 MI Primary

Addresses

Primary practice location

447 1St St
Menominee, MI 49858-3307

Mailing address

1113 Elizabeth Ave
Marinette, WI 54143-2514
Phone (715) 735-9549

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
6802065750MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Professional Counseling Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235212960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 ELIZABETH AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432514",
            "telephone_number": "715-735-9549",
            "fax_number": "906-864-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 1ST ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583307",
            "telephone_number": "906-864-2590",
            "fax_number": "906-864-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JEANNE",
        "middle_name": "M",
        "credential": "MPS, FT, BCETS, LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802065750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menominee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.