Individual provider Active NPI

Jennifer M Stephens, LPC

  • Mental Health Counselor
  • Saginaw, MI
National Provider Identifier
1235842618
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401013029 Issued in MI
Practice address
33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896
Phone
(989) 220-3060
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401013029 MI Primary

Addresses

Primary practice location

33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896

Mailing address

2619 S River Rd
Saginaw, MI 48609-5327
Phone (989) 324-0778

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
6401013029MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Leaf Counseling Services LLC Mental Health CurrentSince Jan 8, 2023 Accepting new patients

Locations

4151 Shrestha Dr
Ste D
Bay City, MI 48706
Phone (989) 220-3060

33 White Tail Creek Rd
Ste 2
Saginaw, MI 48638
Phone (989) 220-3060

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.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1235842618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 S RIVER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486095327",
            "telephone_number": "989-324-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WHITE TAIL CREEK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385896",
            "telephone_number": "989-220-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.