Active NPI
Jennifer M Stephens, LPC
- Mental Health Counselor
- Saginaw, MI
National Provider Identifier
1235842618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401013029
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013029 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Leaf Counseling Services LLC | Mental Health | Current | 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.