Midwest Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIDWEST RECOVERY LLC

Practice address

210 W Highland Rd Ste 102
Highland, MI 48357-4573

Phone

(810) 215-1006

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Myriam Jensen, PH.D.NPI 1811311871

Title

Officer

Phone

(248) 529-3167

Specialties & licenses 1

Addresses

Tax ID family

Midwest Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Recovery LLC

  • Case Management Agency
  • Highland, MI
  • NPI 1992526107
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myriam Jensen, PH.D.

  • Psychologist
  • Highland, MI
  • NPI 1811311871
  NPD Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1235973033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W HIGHLAND RD STE 102",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574573",
            "telephone_number": "248-529-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W HIGHLAND RD STE 102",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574573",
            "telephone_number": "810-215-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "248-529-3167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Krupic DPM PLLC
• Michigan Dental Associates - Highland PC
• Midan Medical Holdings PLLC
• Midan Medical Holdings PLLC
• Midwest Behavioral Clinic LLC
• Midwest Recovery LLC
• Milford Dental Care
• Milford Medical Supplies, Inc
• Ashley Elizabeth Minard
• Kyle Minier, COTA

• Community/Behavioral Health Agency in Highland, MI
• Providers in Highland, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.