Organization Active NPI

Time to Talk Therapy

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1265967897
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TIME TO TALK THERAPY
Practice address
2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127
Phone
(734) 255-8082
Fax
(734) 882-2861
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Edwina Jarrett, LMSWNPI 1114322799
Title
Psychotherapist
Phone
(734) 255-8082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127

Mailing address

2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127
Phone (734) 255-8082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221102003153 MI Part B Supplier - Clinic/Group Practice 2466829593 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1265967897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY STE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045127",
            "telephone_number": "734-255-8082",
            "fax_number": "734-882-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY STE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045127",
            "telephone_number": "734-255-8082",
            "fax_number": "734-882-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME TO TALK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-255-8082",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.